Individual provider Active NPI

Allison Kay Netter, MS LPCC

  • Professional Counselor
  • Waite Park, MN
National Provider Identifier
1073030805
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
03557 Issued in MN
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

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111004510 MN Practitioner - Mental Health Counselor 0547611717 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
03557MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Minnesota Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients
Central Minnesota Mental Health Center CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.