NPIMap

Organization Active NPI

Cos PLLC

  • Adult Mental Health Clinic/Center
  • Waite Park, MN
National Provider Identifier
1083317812
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COS PLLC
Practice address
384 3Rd St NE
Waite Park, MN 56387-1874
Phone
(320) 250-9188
Fax
(320) 396-7300
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Paul Colligan
Title
Co-Owner
Phone
(602) 790-0617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

384 3Rd St NE
Waite Park, MN 56387-1874

Mailing address

384 3Rd St NE
Waite Park, MN 56387-1874
Phone (320) 250-9188

Other names 1

  • Aurora Mental Health and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230421001323 MN Part B Supplier - Clinic/Group Practice 9234594425 Receives reassigned benefits from 6 practitioners
Practice locations: Waite Park, MN; Chanhassen, MN

National Provider Directory

National Provider Directory

Locations

7945 Stone Creek Dr
Ste 150
Chanhassen, MN 55317
Phone (320) 250-9188

384 3rd St NE
Waite Park, MN 56387
Phone (320) 250-9188

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1083317812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 3RD ST NE",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871874",
            "telephone_number": "320-250-9188",
            "fax_number": "320-396-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 3RD ST NE",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871874",
            "telephone_number": "320-250-9188",
            "fax_number": "320-396-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "COLLIGAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "602-790-0617"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Mental Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 22, 2023; 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.