Louise Annette Ferry, MA LAMFT
Individual provider Active NPI Psychologist · Willmar, MN
NPI 1104985175 · NPPES record last updated Mar 23, 2011
Key facts
- NPI
- 1104985175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 5135 (MN)
- Practice address
- 1125 6TH Street SE
Woodland Centers
Willmar, MN 56201-4675 - Phone
- (320) 231-9148
- Fax
- (320) 231-9140
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.11 of 100
- Quality
- 82.21
- Promoting interoperability
- 83
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100129000711 | MN | Practitioner - Clinical Psychologist | 3476696410 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5135 | MN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stevens Community Medical Center Inc | Current |
Accepting new patients | |
| Stevens Community Medical Center Inc. | Current | Accepting new patients | |
| Swift County Benson Hospital | Current |
Accepting new patients | |
| Stevens Community Medical Center Inc | Current |
Accepting new patients | |
| Swift County-Benson Hospital | Current | Accepting new patients | |
| Swift County Benson Hospital | Current |
Accepting new patients | |
| Stevens Community Medical Center Inc | Past | Accepting new patients |
Locations
1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454
400 E 1st St
Morris, MN 56267
Phone (320) 589-1313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Clinical Social Worker | 1041C0700X | 1248 | MN | |
| Psychologist | 103T00000X | 5135 | MN | Yes |
Addresses
Primary practice location
1125 6TH Street SE
Woodland Centers
Willmar, MN 56201-4675
Mailing address
920 70TH St NE
Benson, MN 56215
Phone (320) 235-4613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363928000 | Medicaid | MN | |
| 458K1FE | Other | MN | BCBS |
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.