Carrie Hargrave, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303838 Issued in MN

Practice address

309 7TH St NW
Willmar, MN 56201-2627

Phone

(320) 214-7744

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Reverence for Life and Concern for People Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Willmar, MN
  • NPI 1013138700
  NPD

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1154047538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 7TH ST NW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012627",
            "telephone_number": "320-214-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 7TH ST NW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012627",
            "telephone_number": "320-214-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGRAVE",
        "first_name": "CARRIE",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Hanson
• Jean Hanson
• Lori Kay Hanson, LADC, MA
• Michael Duane Hanson, DDS
• Courtney Harazin
• Megan Renee Harms, MA, BS, LADC, CPRS
• Kristel Marlena Hart, RN, CNS
• Jay A Haug, PHYSICAL THERAPIST
• Eric N. Haugen, MD
• Charles Haupert II

• Addiction (Substance Use Disorder) Counselor in Willmar, MN
• Providers in Willmar, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.