Carol Ellen Horsager, MED, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2424 Issued in MN

Practice address

122 First Street North
Hackensack, MN 56452

Phone

(218) 675-5101

NPI assigned

Jul 3, 2012

Last updated

Jul 3, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Birch Lake Counseling LLCGroup PAC ID 5496904971, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Birch Lake Counseling LLC

  • Clinic/Center
  • Hackensack, MN
  • NPI 1760646715
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1164786398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "HACKENSACK",
            "state": "MN",
            "postal_code": "564520471",
            "telephone_number": "218-675-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 FIRST STREET NORTH",
            "city": "HACKENSACK",
            "state": "MN",
            "postal_code": "56452",
            "telephone_number": "218-675-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSAGER",
        "first_name": "CAROL",
        "middle_name": "ELLEN",
        "credential": "MED, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachal Aasa Cross, LGSW
• Jennifer A Dalgarno, PA
• Linnea Frances Dietrich, LMFT
• Faith in Action for Cass County
• Luann Gravelle, CFPS
• Paula Marie Schroeder, LSW
• St. Joseph's Medical Center (Essentia Health St. Joseph's - Hackensack Clinic)
• St. Joseph's Medical Center (Essentia Health St. Joseph's-Hackensack Clinic)
• Sue Ann Stewart, CFPS
• Karen R Winkelman, MS, BA, AA,

• Marriage & Family Therapist in Hackensack, MN
• Providers in Hackensack, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.

Verify at the official NPI Registry.