Individual provider Active NPI

Megan Sue Kampstra, LPCC

  • Professional Counselor
  • Fergus Falls, MN
National Provider Identifier
1144989492
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC03142 Issued in MN
Practice address
225 W Lincoln Ave Ste 104
Fergus Falls, MN 56537-2146
Phone
(218) 531-1424
Fax
(218) 531-1420
NPI assigned
Dec 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1865 MN
Professional Counselor 101YP2500X CC03142 MN Primary

Addresses

Primary practice location

225 W Lincoln Ave Ste 104
Fergus Falls, MN 56537-2146

Mailing address

1818 Shoreview Dr
Fergus Falls, MN 56537-4212
Phone (320) 444-5659

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
I20240104001913 MN Practitioner - Mental Health Counselor 7012399082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Walk Counseling IncGroup PAC ID 1759763725, 4 clinicians

Practice addresses (Care Compare)

225 W Lincoln Ave
Suite 104
Fergus Falls, MN 56537-2146
Phone (218) 531-1424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1865MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Walk Counseling Inc Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

225 W Lincoln Ave
Ste 104
Fergus Falls, MN 56537
Phone (218) 531-1424

Organizations & group practices 1

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1144989492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 SHOREVIEW DR",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565374212",
            "telephone_number": "320-444-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W LINCOLN AVE STE 104",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372146",
            "telephone_number": "218-531-1424",
            "fax_number": "218-531-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPSTRA",
        "first_name": "MEGAN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-02-05",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1865",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC03142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.