Two Otters Counseling Center, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP2413 Issued in MN

Legal business name

TWO OTTERS COUNSELING CENTER, LLC

Practice address

101 W Highway 61
#60
Grand Marais, MN 55604-2333

Phone

(218) 387-9133

Fax

(218) 387-9197

NPI assigned

Oct 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Skye V Payne, PHD

Title

Licensed Psychologist

Phone

(218) 387-9133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1033360524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W HIGHWAY 61",
            "address_2": "#60",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556042333",
            "telephone_number": "218-387-9133",
            "fax_number": "218-387-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W HIGHWAY 61",
            "address_2": "#60",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556042333",
            "telephone_number": "218-387-9133",
            "fax_number": "218-387-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO OTTERS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "SKYE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "218-387-9133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Raymond Stoner, DC
• Rebecca Sue Stoner, P.T.
• Amy Taylor, MD
• Paul E Terrill, M.D.
• Rachel Claire Theismann, PHARMD
• Stephanie Ruthanne Vos, DC
• Reilly Ardath Wahlers, DH
• Debbie Ware Petty, MSW
• James Paul Zimmer, LGSW

• Clinical Psychologist in Grand Marais, MN
• Providers in Grand Marais, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.