Individual provider Active NPI

Louise Annette Ferry, MA LAMFT

  • Psychologist
  • Willmar, MN
National Provider Identifier
1104985175
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5135 Issued in 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
Last updated
Mar 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Clinical Social Worker 1041C0700X 1248 MN
Psychologist 103T00000X 5135 MN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100129000711 MN Practitioner - Clinical Psychologist 3476696410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
82.21
Promoting interoperability
83
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5135MNMDChiropractor
1248MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Swift County Benson Hospital CurrentSince Oct 21, 2013 Accepting new patients
Swift County-Benson Hospital Current Accepting new patients
Stevens Community Medical Center Inc CurrentSince Dec 21, 2022 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Swift County Benson Hospital CurrentSince Oct 21, 2013 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Dec 21, 2022 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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1104985175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 70TH ST NE",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "56215",
            "telephone_number": "320-235-4613",
            "fax_number": "320-231-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 6TH STREET SE",
            "address_2": "WOODLAND CENTERS",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014675",
            "telephone_number": "320-231-9148",
            "fax_number": "320-231-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRY",
        "first_name": "LOUISE",
        "middle_name": "ANNETTE",
        "credential": "MA LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "1248",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "5135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.