Active NPI
Deneal Marie Sperle, LPC
- Professional Counselor
- Mankato, MN
National Provider Identifier
1114551728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 02391
- Practice address
- 44 Good Counsel Dr
Mankato, MN 56001-6599 - Phone
- (800) 438-1772
- Fax
- (262) 345-5562
- NPI assigned
- Feb 24, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 02391 | MS | Primary |
Addresses
Primary practice location
44 Good Counsel Dr
Mankato, MN 56001-6599
Mailing address
W175N11120 Stonewood Dr
Germantown, WI 53022-4799
Phone (262) 345-5533
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
150 St Andrews Dr
Suite 120
Mankato, MN 56001-8660
Phone (952) 767-9376
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02391 | MS | MD | Professional Counselor |
| 3104 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mears Psychological LLC | Current | Accepting new patients |
Locations
10567 165th St W
Lakeville, MN 55044
Phone (952) 767-9374
150 Saint Andrews Dr
Ste 120
Mankato, MN 56001
Phone 9527679374 ext. 79374
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba The Soul's Apothecary
- Clinical Psychologist
- Lakeville, MN
- NPI 1881333946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1114551728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W175N11120 STONEWOOD DR",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224799",
"telephone_number": "262-345-5533",
"fax_number": "262-293-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 GOOD COUNSEL DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016599",
"telephone_number": "800-438-1772",
"fax_number": "262-345-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERLE",
"first_name": "DENEAL",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "02391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.