SOUTHWESTERN MENTAL HEALTH CENTER INC (NPI# 1487654562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487654562 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN MENTAL HEALTH CENTER INC |
| Practice Address |
117 S Spring St Luverne MN 56156-1916 |
| Mailing Address |
Po Box 686 Luverne MN 56156-0686 |
| Practice Telephone | 5072839511 |
| Practice Fax Number | 5072839514 |
| Mailing Telephone | (507) 283-9511 |
| Mailing Fax Number | 5072839514 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | MR. SCOTT K JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5072839511 |
| Authorized Official Credential | MSW,LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
831125 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 114833 | 01 |
| MN | 534855200 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 48828SO | 01 |
| MN | 500636800 | 05 |
| Street Address |
117 S SPRING ST |
| City | LUVERNE |
| State | MN |
| Zip Code | 56156-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285163 | Kenny Pospischil | Counselor | 117 S Spring St, Luverne, MN 56156-1916 | 2020-11-03 |
| 1669936829 | Cassandra Rae Heuer | Nurse Practitioner | 117 S Spring St, Luverne, MN 56156-1916 | 2019-01-22 |
| 1194218966 | Veronica Sherwood | Nurse Practitioner | 117 S Spring St, Luverne, MN 56156-1916 | 2018-06-07 |
| 1487167763 | Ashley Jean Wilcox | Social Worker | 117 S Spring St, Luverne, MN 56156 | 2017-11-09 |
| 1295184562 | Christine Marie Mann | Social Worker | 117 S Spring St, Luverne, MN 56156-1916 | 2016-06-08 |
| 1962851253 | Southwestern Mental Health Center | Clinic/Center | 117 S Spring St, Luverne, MN 56156-1916 | 2016-06-07 |
| 1467863597 | Anne Marie Goraj-mcdade | Counselor | 117 S Spring St, Luverne, MN 56156-1916 | 2014-05-12 |
| 1700086600 | Craig Allen Hohn | Pharmacist | 117 S Spring St, Luverne, MN 56156-1916 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119889 | Healing Path Counseling & Wellness, P.l.l.c. | Counselor | 215 N. Cedar St., Luverne, MN 56156 | 2019-02-10 |
| 1790971604 | Lori J. Mulder | Occupational Therapist | 1600 N Kniss, Luverne, MN 56156 | 2007-09-25 |
| 1780743088 | David L Knips | Nurse Anesthetist, Certified Registered | 1600 N. Kniss Ave., Luverne, MN 56156 | 2006-12-06 |
| 1497703045 | Sanford Health Network | General Acute Care Hospital | 1600 N Kniss Ave, Luverne, MN 56156 | 2006-05-05 |
| 1780676189 | Judy Sternberg Chesley | Family Medicine | 1601 Sioux Valley Dr, Luverne, MN 56156 | 2005-08-22 |
| 1518959915 | Timothy P Ceynowa | Family Medicine | 1601 Sioux Valley Drive, Luverne, MN 56156 | 2005-08-22 |
| 1205279320 | Erica Sue Hough | Counselor | 118 W Main St, Luverne, MN 56156 | 2013-04-08 |
| 1225397763 | Codie Lee Zeutenhorst | Chiropractor | 109 S Freeman Ave, Luverne, MN 56156 | 2012-05-03 |
| 1053507350 | Kathleen Marie Loosbrock | Physical Therapy Assistant | 1600 N Kniss Ave, Luverne, MN 56156 | 2007-09-20 |
| 1588856470 | Patricia Ann Halse | Speech-Language Pathologist | 1600 N Kniss Ave, Luverne, MN 56156 | 2007-08-14 |
| Find all providers in zip 56156 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962851253 | Southwestern Mental Health Center | Clinic/Center | 117 S Spring St, Luverne, MN 56156-1916 | 2016-06-07 |
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| 1205433984 | Hopebridge Life Skills Center | Clinic/Center | 3617 E Lake St, Minneapolis, MN 55406-2148 | 2020-10-05 |
| 1275149007 | Clarity Counseling Services Pllc | Clinic/Center | 521 W Highway 2, Cohasset, MN 55721-2300 | 2020-09-17 |
| 1720693146 | Serene Therapy and Counseling Services LLC | Clinic/Center | 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 | 2020-09-11 |
| 1427662592 | Threesixty, LLC | Clinic/Center | 4960 Miller Trunk Hwy # 600-b, Hermantown, MN 55811-1891 | 2020-09-04 |
| 1124639190 | Woodhaven Wellness | Clinic/Center | 3000 Carriage Dr, Hamel, MN 55340-9597 | 2020-08-13 |
| 1245840735 | Kalina Counseling Services | Clinic/Center | 120 7th St Unit 101, Two Harbors, MN 55616-1563 | 2020-08-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.