Organization Active NPI

Set Free Christian Fellowship

  • Mental Health Counselor
  • Sleepy Eye, MN
National Provider Identifier
1013467299
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC01242 Issued in MN
Legal business name
SET FREE CHRISTIAN FELLOWSHIP
Practice address
808 Water St SW
Sleepy Eye, MN 56085-1230
Phone
(507) 227-6806
NPI assigned
Oct 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Wade Lang, REV., M.A., LPCCNPI 1164873576
Title
Reverend / Psychotherapist
Phone
(507) 227-6806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X CC01242 MN Primary

Addresses

Primary practice location

808 Water St SW
Sleepy Eye, MN 56085-1230

Mailing address

808 Water St SW
Sleepy Eye, MN 56085-1230
Phone (507) 227-6806

Other names 1

  • Set Free Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1013467299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 WATER ST SW",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "560851230",
            "telephone_number": "507-227-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 WATER ST SW",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "560851230",
            "telephone_number": "507-227-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SET FREE CHRISTIAN FELLOWSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "REVEREND / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "507-227-6806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REV., M.A., LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Set Free Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sleepy Eye, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.