Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johanna Gaia Rose, LMFT

Individual provider Marriage & Family Therapist · NPI 1922763978

Johanna Gaia Rose, LMFT is a Marriage and Family Therapist in Coon Rapids, Minnesota. Qualified in 2017, 9 years ago. Practices with Family Based Therapy Associates, a 12-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2021
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

3875 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518
Phone: (701) 388-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 3868 (MN)

Record details

NPI number1922763978
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorNo
NPI enumeratedNovember 4, 2021
Last updated in NPPESNovember 4, 2021
Certification dateOctober 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Family Based Therapy Associates — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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