NPIMap

Organization Active NPI

Theodore J. Pierzina

Doing business as Counseling Clinic La Crescent

  • Community/Behavioral Health Agency
  • La Crescent, MN
National Provider Identifier
1073789939
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1016047-1-CDT Issued in MN
Legal business name
THEODORE J. PIERZINA
Doing business as
Counseling Clinic La Crescent
Practice address
33 S Walnut St Ste 100
La Crescent, MN 55947-1319
Phone
(507) 895-6666
NPI assigned
May 1, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Theodore J PierzinaNPI 1154401461
Title
Office Administrator
Phone
(507) 895-6666

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1016047-1-CDT MN Primary

Addresses

Primary practice location

33 S Walnut St Ste 100
La Crescent, MN 55947-1319

Mailing address

33 S Walnut St Ste 100
La Crescent, MN 55947-1319
Phone (507) 895-6666

Other names 1

  • Counseling Clinic La Crescent Doing business as

National Provider Directory

National Provider Directory

Locations

33 S Walnut St
Ste 100
La Crescent, MN 55947
Phone (507) 895-6666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1073789939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S WALNUT ST STE 100",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471319",
            "telephone_number": "507-895-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S WALNUT ST STE 100",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471319",
            "telephone_number": "507-895-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE J. PIERZINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "PIERZINA",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "507-895-6666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1016047-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Clinic La Crescent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crescent, MN

Sources for this page

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