Organization Active NPI

Rachel Swenson Counseling LLC

  • Clinical Social Worker
  • Gaylord, MN
National Provider Identifier
1013689710
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RACHEL SWENSON COUNSELING LLC
Practice address
230 4TH St
Gaylord, MN 55334-4443
Phone
(507) 276-9496
NPI assigned
Sep 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Rachel L Swenson, LICSWNPI 1346535796
Title
Owner
Phone
(507) 276-9496

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

230 4TH St
Gaylord, MN 55334-4443

Mailing address

33549 571St Ave
Lafayette, MN 56054-3007
Phone (507) 276-9496

Other identifiers 1

IdentifierTypeStateIssuer
1346535796MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211129000073 MN Part B Supplier - Clinic/Group Practice 2860882248 Receives reassigned benefits from 1 practitioner
Practice locations: Gaylord, MN

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": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1013689710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33549 571ST AVE",
            "city": "LAFAYETTE",
            "state": "MN",
            "postal_code": "560543007",
            "telephone_number": "507-276-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 4TH ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553344443",
            "telephone_number": "507-276-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL SWENSON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-276-9496",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346535796",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.