Organization Active NPI

Vikingland Community Support Program Inc

  • Mental Health Counselor
  • Alexandria, MN
National Provider Identifier
1144388273
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
443022101 Issued in MN
Legal business name
VIKINGLAND COMMUNITY SUPPORT PROGRAM INC
Practice address
1106 Broadway St
Alexandria, MN 56308-2643
Phone
(320) 763-6261
Fax
(320) 763-6749
NPI assigned
Dec 4, 2006
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Rebecca Schmitz
Title
Executive Director
Phone
(320) 763-6261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 443022101 MN Primary

Addresses

Primary practice location

1106 Broadway St
Alexandria, MN 56308-2643

Mailing address

700 Cedar St
Suite #144
Alexandria, MN 56308-1769
Phone (320) 763-6261

Other identifiers 2

IdentifierTypeStateIssuer
443022100MedicaidMN
443022101MedicaidMN

National Provider Directory

National Provider Directory

Locations

1106 Broadway St
Alexandria, MN 56308
Phone (320) 762-2101

700 Cedar St
Ste 144
Alexandria, MN 56308
Phone (320) 763-6261

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1144388273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CEDAR ST",
            "address_2": "SUITE #144",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081769",
            "telephone_number": "320-763-6261",
            "fax_number": "320-763-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 BROADWAY ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082643",
            "telephone_number": "320-763-6261",
            "fax_number": "320-763-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKINGLAND COMMUNITY SUPPORT PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "320-763-6261"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "443022101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443022100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443022101",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.