Individual provider Active NPI

Cheryl Bissonette, LMFT

  • Mental Health Counselor
  • Owatonna, MN
National Provider Identifier
1134498785
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3333 Issued in MN
Practice address
125 Landmark Dr NE Ste 2
Owatonna, MN 55060-1629
Phone
(507) 214-2016
Fax
(507) 214-2017
NPI assigned
Dec 27, 2011
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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 3333 MN Primary

Addresses

Primary practice location

125 Landmark Dr NE Ste 2
Owatonna, MN 55060-1629

Mailing address

125 Landmark Dr NE Ste 2
Owatonna, MN 55060-1629
Phone (507) 214-2016

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CounSol.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Counseling and Wellness, PC Mental Health CurrentSince Jan 19, 2020 Accepting new patients
Eat Well Nutrition Therapy, LLC PastSince Jan 1, 2020 Accepting new patients
Experiencing Moore, PC PastSince Apr 1, 2020 Accepting new patients

Locations

125 Landmark Dr NE
Ste 2
Owatonna, MN 55060
Phone (507) 214-2016

1880 Austin Rd
Ste 1
Owatonna, MN 55060
Phone (507) 214-2016

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, 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": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1134498785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LANDMARK DR NE STE 2",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550601629",
            "telephone_number": "507-214-2016",
            "fax_number": "507-214-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LANDMARK DR NE STE 2",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550601629",
            "telephone_number": "507-214-2016",
            "fax_number": "507-214-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSONETTE",
        "first_name": "CHERYL",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CounSol.com",
            "affiliation": "N",
            "endpointDescription": "Practice Management Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 Landmark Dr NE Ste 2",
            "city": "Owatonna",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550601629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.