Individual provider Active NPI

Corinne Marie Applegate, M.A.

  • Mental Health Counselor
  • Albert Lea, MN
National Provider Identifier
1124326608
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
905 Blackmer Ave
Albert Lea, MN 56007-1555
Phone
(507) 373-9867
NPI assigned
Mar 7, 2011
Last updated
Aug 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

905 Blackmer Ave
Albert Lea, MN 56007-1555

Mailing address

905 Blackmer Ave
Albert Lea, MN 56007-1555

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
I20240528002583 MN Practitioner - Mental Health Counselor 9335586312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of FreebornGroup PAC ID 2163404872, 8 clinicians

Practice addresses (Care Compare)

203 W Clark St
Albert Lea, MN 56007-2549
Phone (507) 377-5403

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
923MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Freeborn CurrentSince Apr 14, 2024 Accepting new patients
County of Freeborn CurrentSince Apr 14, 2024 Accepting new patients

Locations

203 W Clark St
Albert Lea, MN 56007
Phone (507) 377-5403

Organizations & group practices 2

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": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1124326608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 BLACKMER AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BLACKMER AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071555",
            "telephone_number": "507-373-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "CORINNE",
        "middle_name": "MARIE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

Verify at the official NPI Registry.