Organization Active NPI

JJ Lindstrom PLC

  • Professional Counselor
  • Willmar, MN
National Provider Identifier
1174229223
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JJ LINDSTROM PLC
Practice address
2313 6TH Ave SE
Willmar, MN 56201-4885
Phone
(612) 963-5889
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Patrick J Lindstrom, CMA
Title
Billing & Coding Specialist
Phone
(161) 296-3588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2313 6TH Ave SE
Willmar, MN 56201-4885

Mailing address

2313 6TH Ave SE
Willmar, MN 56201-4885
Phone (612) 963-5889

Other names 1

  • Glacier Lakes Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1174229223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 6TH AVE SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014885",
            "telephone_number": "612-963-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 6TH AVE SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014885",
            "telephone_number": "612-963-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ LINDSTROM PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING & CODING SPECIALIST",
        "authorized_official_telephone_number": "161-296-3588",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glacier Lakes Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glacier Lakes Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.