Active NPI
Matthew E Homstad, LPCC
- Professional Counselor
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC01180
- Practice address
- 1811 Greenview PL SW
Suite 110
Rochester, MN 55902-1002 - Phone
- (507) 446-0431
- Fax
- (507) 446-8014
- NPI assigned
- Apr 28, 2016
- Last updated
- Apr 28, 2016
- Sex
- Male
- 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 | CC01180 | MN | Primary |
Addresses
Primary practice location
1811 Greenview PL SW
Suite 110
Rochester, MN 55902-1002
Mailing address
PO Box 977
Owatonna, MN 55060-0977
Phone (507) 446-0431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
321 8TH Ave W
Cresco, IA 52136-1064
Phone (563) 547-2021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01180 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services of Howard County | Current | Accepting new patients | |
| Northeast Iowa Mental Health Center | Current | Accepting new patients | |
| Regional Health Services of Howard County | Current | Accepting new patients | |
| Fernbrook Family Center | Past | Accepting new patients | |
| United Community Services, Inc. | Past | Accepting new patients | |
| Fernbrook Family Center, Inc | Past | Accepting new patients |
Locations
235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101
905 Montgomery St
Decorah, IA 52101
Phone (563) 382-3649
36 S Frederick Ave
Oelwein, IA 50662
Phone (319) 283-5774
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Cresco, IA
- NPI 1730283326
-
dba Northeast Iowa Behavioral Health, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Decorah, IA
- NPI 1710933445
-
dba Elma Medical Clinic
- Rural Health Clinic/Center
- Elma, IA
- NPI 1104440809
-
- Social Worker
- Red Wing, MN
- NPI 1437427911
-
- Social Worker
- Owatonna, MN
- NPI 1659483915
-
- Point of Service
- West Des Moines, IA
- NPI 1609998137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1134574064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 977",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550600977",
"telephone_number": "507-446-0431",
"fax_number": "507-446-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 GREENVIEW PL SW",
"address_2": "SUITE 110",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559021002",
"telephone_number": "507-446-0431",
"fax_number": "507-446-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMSTAD",
"first_name": "MATTHEW",
"middle_name": "E",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.