LUTHERAN SOCIAL SERVICE OF MINNESOTA (NPI# 1801968300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801968300 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICE OF MINNESOTA |
| Practice Address |
333 Litchfield Avenue Sw Willmar MN 56201-3352 |
| Mailing Address |
333 Litchfield Ave Sw Willmar MN 56201-3352 |
| Practice Telephone | 3202355411 |
| Practice Fax Number | 3202352601 |
| Mailing Telephone | 3202355411 |
| Mailing Fax Number | 3202352601 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DIANNE LOUISE HALTERMAN (MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Telephone | 3202355411 |
| Authorized Official Credential | L.P.C., N.C.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
00130 | MN | Behavioral Health & Social Service Providers |
| X | 251S00000X | Community/Behavioral Health | NCC 44742 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | L.P.C. | 00130 | 01 |
| MN | NCC | 44742 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
| 1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
| 1073742383 | Lutheran Social Service of Minnesota | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 198 Penny Lane, Leroy, MN 55951 | 2009-07-08 |
| 1841441854 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 39413 120th St Sw, East Grand Forks, MN 56721-9121 | 2008-10-08 |
| 1588855878 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 28579 Us Highway 10, Springhill Group Home, Detroit Lakes, MN 56501-7308 | 2007-08-05 |
| 1376733659 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 820 Eickhof Blvd, Kairos House, Crookston, MN 56716-2600 | 2007-08-01 |
| 1609080290 | Lutheran Social Service of Minnesota | Community/Behavioral Health | 2485 Como Ave, Saint Paul, MN 55108-1445 | 2007-05-10 |
| 1295928240 | Lutheran Social Service of Minnesota | Case Management | 211 Holmes St W, Detroit Lakes, MN 56501-3023 | 2007-08-23 |
| 1396938742 | Lutheran Social Service of Minnesota | Case Management | 731 Western Ave, Fergus Falls, MN 56537-4804 | 2007-08-20 |
| 1225221682 | Lutheran Social Service of Minnesota | Case Management | 715 11th St N, Moorhead, MN 56560-2083 | 2007-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | LUTHERAN SOCIAL SERVICE OF MINNESOTA | 424 West Superior St Ste 600, Dduluth, Minnesota 55802 |
| Colorado Business Entities | Lutheran Social Service of Minnesota | 2485 Como Avenue, St. Paul, MN 55108 |
| Iowa Business Entities | LUTHERAN SOCIAL SERVICE OF MINNESOTA | 2485 Como Ave, St Paul, MN 55108 |
| Street Address |
333 LITCHFIELD AVENUE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1295248706 | C Brook Chace | Counselor | 2125 1st St S, Willmar, MN 56201-4256 | 2017-11-07 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1568784668 | Knutson Counseling & Seminars, Inc. | Counselor | 1604 1st St So, Suite 225, Willmar, MN 56201-4243 | 2010-02-17 |
| 1699864660 | Timothy Roger Johnson | Counselor | 217 Industrial Dr Sw, Willmar, MN 56201 | 2006-10-11 |
| 1609869726 | Greater Minnesota Family Services | Counselor | 2320 Highway 12 E Ste 2, Willmar, MN 56201-5811 | 2005-08-24 |
| 1114546991 | Jessica Lee Bakken | Counselor | 2125 1st St S, Willmar, MN 56201-4256 | 2020-04-13 |
| 1215578950 | Paige C Ruegemer | Counselor | 1125 6th St Se, Willmar, MN 56201-4675 | 2019-10-03 |
| 1851864789 | Lisa Marie Kuechenmeister | Counselor | 2320 Highway 12 E Ste 2, Willmar, MN 56201-5811 | 2019-01-03 |
| 1730672346 | Amanda Stangel | Counselor | 1305 1st St S, Willmar, MN 56201-4236 | 2018-06-08 |
| Find all providers in WILLMAR | ||||
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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.