Active NPI
Barbara Olivia Erickson, M.A.L.P.
- Counseling Psychologist
- Cambridge, MN
National Provider Identifier
1093836983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP2934
- Practice address
- 237 2ND Ave SW
Cambridge, MN 55008-1536 - Phone
- (651) 245-5217
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP2934 | FM | Primary |
Addresses
Primary practice location
237 2ND Ave SW
Cambridge, MN 55008-1536
Mailing address
18851 Bayside Loop
Pine City, MN 55063-5511
Phone (651) 245-5217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41 29 713 | Other | MN | MN TAXID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP2934 | FM | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093836983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18851 BAYSIDE LOOP",
"city": "PINE CITY",
"state": "MN",
"postal_code": "550635511",
"telephone_number": "651-245-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 2ND AVE SW",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550081536",
"telephone_number": "651-245-5217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "BARBARA",
"middle_name": "OLIVIA",
"credential": "M.A.L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FM",
"license": "LP2934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN TAXID NUMBER",
"identifier": "41 29 713",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.