Prosperous Soul Inner Healing & Counseling Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PROSPEROUS SOUL INNER HEALING & COUNSELING SERVICES

Practice address

1010 Frontier Dr Ste 105
Fergus Falls, MN 56537-1023

Phone

(218) 332-0767

NPI assigned

Oct 10, 2025

Organization subpart

No

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

Authorized official

Name

Sherri Evelyn-Leilani Clark, LPCC, LADCNPI 1427230978

Title

Owner

Phone

(218) 770-3230

Specialties & licenses 1

Addresses

Other names 1

• Prosperous Soul Inner Healing & Counseling Services, LLC Other name

Locations

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.

• Sherri Evelyn-Leilani Clark, LADC

  • Professional Counselor
  • Perham, MN
  • NPI 1427230978
  NPD Authorized official

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1083589725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 FRONTIER DR STE 105",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371023",
            "telephone_number": "218-332-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 FRONTIER DR STE 105",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371023",
            "telephone_number": "218-332-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPEROUS SOUL INNER HEALING & COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "EVELYN-LEILANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-770-3230",
        "authorized_official_credential": "LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosperous Soul Inner Healing & Counseling Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Aletha Kay Quam, RNCNP
• Lori Ann Raba, LPN
• Andrea Elizabeth Rader-Mendler, PA-C

• Adult Mental Health Clinic/Center in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.