Carol Collette Follingstad, PSY.D. LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4052 Issued in MN

Practice address

1132 28TH Ave S
Suite 102
Moorhead, MN 56560-4420

Phone

(218) 731-2320

Fax

(218) 867-3712

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Innovations, Inc.

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783
  Medicare reassignment
• West Central Counseling LLC

  • Mental Health Counselor
  • Alexandria, MN
  • NPI 1649846650
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1023197522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 28TH AVE S",
            "address_2": "SUITE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565604420",
            "telephone_number": "218-731-2320",
            "fax_number": "218-867-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 28TH AVE S",
            "address_2": "SUITE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565604420",
            "telephone_number": "218-731-2320",
            "fax_number": "218-867-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLLINGSTAD",
        "first_name": "CAROL",
        "middle_name": "COLLETTE",
        "name_prefix": "Dr.",
        "credential": "PSY.D. LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "668524200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• FM Recovery LLC
• FM Rehab Center Inc
• Joe Foertsch
• Allison Foley
• Wanda Yvonne Foley, PHARMD
• Jada M Ford
• Tammi Fortney, MS
• Forward Physical Therapy
• Jace Foss, D.C.
• Amy Fossum

• Clinical Psychologist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.