Individual provider Active NPI

Allison Meyers

  • Clinical Psychologist
  • International Falls, MN
National Provider Identifier
1134498009
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
801758-1-MHC Issued in MN
Practice address
1902 Valley Pine Cir
International Falls, MN 56649-2179
Phone
(218) 283-3406
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 801758-1-MHC MN Primary

Addresses

Primary practice location

1902 Valley Pine Cir
International Falls, MN 56649-2179

Mailing address

215 SE 2ND Ave
Grand Rapids, MN 55744-3615

Other identifiers 1

IdentifierTypeStateIssuer
894755400MedicaidMN

Other names 1

  • Allison O'Hara Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL northlandcounseling.org Other

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
I20130307000254 MN Practitioner - Clinical Psychologist 5193970671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northland Counseling Center IncGroup PAC ID 1153389242, 25 clinicians

Practice addresses (Care Compare)

1902 Valley Pine Cir
International Falls, MN 56649-2179
Phone (218) 283-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
801758-1-MHCMNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Counseling Center, Inc. CurrentSince Dec 19, 2012 Accepting new patients
Northland Counseling Center Kooch Office CurrentSince Dec 19, 2012 Accepting new patients
Northland Recovery Pineview Center Past Accepting new patients

Locations

236 15th Ave SW
Baudette, MN 56623
Phone (218) 283-3406

215 SE 2nd Ave
Grand Rapids, MN 55744
Phone (218) 326-1274

1902 Valley Pine Cir
International Falls, MN 56649
Phone (218) 283-3406

900 5th St
Ste 305
International Falls, MN 56649
Phone (218) 283-3406

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1134498009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SE 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 VALLEY PINE CIR",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492179",
            "telephone_number": "218-283-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "801758-1-MHC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894755400",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "northlandcounseling.org",
            "affiliation": "N",
            "endpointDescription": "website address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "To retrieve intake forms",
            "address_1": "900 5th St Ste 305",
            "city": "International Falls",
            "state": "MN",
            "country_code": "US",
            "postal_code": "566492200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "O'HARA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in International Falls, MN

Sources for this page

Verify at the official NPI Registry.