Organization Active NPI

Compass Counseling Center PLLC

  • Mental Health Counselor
  • Detroit Lakes, MN
National Provider Identifier
1104695527
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COMPASS COUNSELING CENTER PLLC
Practice address
808 Washington Ave Ste 34
Detroit Lakes, MN 56501-3039
Phone
(218) 234-0188
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Colton Friesen, LPCCNPI 1093498818
Title
Owner/Counselor
Phone
(218) 234-0188

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

808 Washington Ave Ste 34
Detroit Lakes, MN 56501-3039

Mailing address

420 Lake St
Lake Park, MN 56554-4205
Phone (218) 234-0188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240424001395 MN Part B Supplier - Clinic/Group Practice 8729428719 Receives reassigned benefits from 2 practitioners
Practice locations: Detroit Lakes, MN

National Provider Directory

National Provider Directory

Locations

808 Washington Ave
Ste 34
Detroit Lakes, MN 56501
Phone (218) 234-0188

Practitioners & affiliated clinicians

Practitioners 2

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": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1104695527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LAKE ST",
            "city": "LAKE PARK",
            "state": "MN",
            "postal_code": "565544205",
            "telephone_number": "218-234-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 WASHINGTON AVE STE 34",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013039",
            "telephone_number": "218-234-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "FRIESEN",
        "authorized_official_first_name": "COLTON",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "218-234-0188",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.