Meraki Legacy Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MERAKI LEGACY COUNSELING SERVICES

Practice address

212 N Minnesota St Ste 3
New Ulm, MN 56073-1746

Phone

(507) 276-8383

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Bonnie Rose Beranek-Fortwengler, LICSWNPI 1215246640

Title

Therapist/Owner

Phone

(507) 328-0690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Bonnie Rose Beranek-Fortwengler, LICSW

  • Clinical Social Worker
  • New Ulm, MN
  • NPI 1215246640
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1063164531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560730212",
            "telephone_number": "507-328-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MINNESOTA ST STE 3",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731746",
            "telephone_number": "507-276-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAKI LEGACY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "BERANEK-FORTWENGLER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "507-328-0690",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt E Mehegan, PT
• Kelly M Meissner, LMFT
• Timothy Melby, HIS
• Rebecca Marie Mensing, LGSW
• Christopher Menssen
• Brett Meyer, DC
• David C Miller, MD
• Erin Melissa Miller
• Mind & Matter LLC
• Jason A. Mohror, MD

• Clinical Social Worker in New Ulm, MN
• Providers in New Ulm, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.