Active NPI
Haylee Garsow, LADC, LSW
- Addiction (Substance Use Disorder) Counselor
- Grand Rapids, MN
National Provider Identifier
1023799194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 305541
- Practice address
- 1215 SE 7TH Ave
Grand Rapids, MN 55744-4201 - Phone
- (218) 313-1328
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28245 | MN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305541 | MN | Primary |
Addresses
Primary practice location
1215 SE 7TH Ave
Grand Rapids, MN 55744-4201
Mailing address
1215 SE 7TH Ave
Grand Rapids, MN 55744-4201
Phone (218) 313-1328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305541 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1023799194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 SE 7TH AVE",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557444201",
"telephone_number": "218-313-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 SE 7TH AVE",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557444201",
"telephone_number": "218-313-1328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARSOW",
"first_name": "HAYLEE",
"credential": "LADC, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "28245",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "305541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.