Active NPI
Allison Kay Netter, MS LPCC
- Professional Counselor
- Waite Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 03557
- Practice address
- 411 3Rd St N
Waite Park, MN 56387-1177 - Phone
- (320) 230-0611
- Fax
- (320) 251-4175
- NPI assigned
- Aug 23, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 03557 | MN | Primary |
| Specialist | 174400000X |
Addresses
Primary practice location
411 3Rd St N
Waite Park, MN 56387-1177
Mailing address
1059 Sequoia Ave
Saint Cloud, MN 56303-4755
Phone (320) 808-8282
Other practice location 1
423 Great Oak Dr
Waite Park, MN 56387-2507
Phone (320) 281-5305
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 13TH St N
Saint Cloud, MN 56303-2613
Phone (320) 252-5010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Master of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03557 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Minnesota Mental Health Center | Current | Accepting new patients | |
| Central Minnesota Mental Health Center | Current | Accepting new patients | |
| Nuway Mental Health Clinic | Past | Accepting new patients |
Locations
308 12th Ave S
Buffalo, MN 55313
Phone (763) 682-4400
1321 13th St N
Saint Cloud, MN 56303
Phone (320) 252-5010
411 3rd St N
Waite Park, MN 56387
Phone (320) 202-2037
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Saint Cloud, MN
- NPI 1831177195
-
- Counselor
- Saint Cloud, MN
- NPI 1053576546
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minneapolis, MN
- NPI 1013608405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1073030805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1059 SEQUOIA AVE",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563034755",
"telephone_number": "320-808-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 3RD ST N",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871177",
"telephone_number": "320-230-0611",
"fax_number": "320-251-4175"
}
],
"practiceLocations": [
{
"address_1": "423 Great Oak Dr",
"address_purpose": "LOCATION",
"city": "Waite Park",
"state": "MN",
"postal_code": "563872507",
"country_code": "US",
"telephone_number": "320-281-5305",
"fax_number": "320-281-5306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NETTER",
"first_name": "ALLISON",
"middle_name": "KAY",
"credential": "MS LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "03557",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.