Active NPI
Tollefson Counseling Services
- Clinical Psychologist
- Monticello, MN
National Provider Identifier
1073680583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP2285
- Legal business name
- TOLLEFSON COUNSELING SERVICES
- Practice address
- 261 E Broadway St
Monticello, MN 55362-9317 - Phone
- (763) 295-3207
- Fax
- (763) 295-6666
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Jean Tollefson, MA LP
- Title
- President
- Phone
- (763) 295-3207
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP2285 | MN | Primary |
Addresses
Primary practice location
261 E Broadway St
Monticello, MN 55362-9317
Mailing address
PO Box 546
261 East Broadway
Monticello, MN 55362-0546
Phone (763) 295-3207
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 333J4TO | Other | MN | BCBS |
| 110707 | Other | MN | UCARE |
| 6234967 | Other | MN | UBH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Monticello, MN
- NPI 1538236039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073680583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"address_2": "261 EAST BROADWAY",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553620546",
"telephone_number": "763-295-3207",
"fax_number": "763-295-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 E BROADWAY ST",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553629317",
"telephone_number": "763-295-3207",
"fax_number": "763-295-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLLEFSON COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TOLLEFSON",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "763-295-3207",
"authorized_official_credential": "MA LP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP2285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "333J4TO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "110707",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6234967",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monticello, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.