Life Choices Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFE CHOICES COUNSELING

Practice address

900 Highway 34 E
Suite B102
Detroit Lakes, MN 56501-2643

Phone

(218) 937-5569

NPI assigned

Jan 29, 2010

Last updated

Jan 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Howard Illsley Pagenkopf Jr.

Title

Office Manager

Phone

(218) 937-5569

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Lee Pagenkopf, L.I.C.S.W.

  • Clinical Social Worker
  • Moorhead, MN
  • NPI 1861639049
  NPD (past)

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1164753265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HIGHWAY 34 E",
            "address_2": "SUITE B103",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012643",
            "telephone_number": "218-937-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HIGHWAY 34 E",
            "address_2": "SUITE B102",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012643",
            "telephone_number": "218-937-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "PAGENKOPF",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "ILLSLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "218-937-5569",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Lemon
• Jane P Leno, OTR/L
• Jennifer K Lessman, PA-C
• Laura Lou Lhotka, MD
• Liberty Health PLLC
• Lincare Inc.
• Erin Nichole Lindberg, OTR/L
• Jessica Lindblom, CNP
• Mark David Lindquist, MD
• Sierra Rose Link, APRN,CNP

• Clinical Social Worker in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.