Organization Active NPI

Country Services Inc

  • Case Management Agency
  • Lakeville, MN
National Provider Identifier
1174700611
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COUNTRY SERVICES INC
Practice address
16995 Enfield Path
Lakeville, MN 55044-4769
Phone
(651) 270-5903
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Paula Jean Goeldner, LSW
Title
Ceo
Phone
(651) 270-5903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

16995 Enfield Path
Lakeville, MN 55044-4769

Mailing address

16995 Enfield Path
Lakeville, MN 55044-4769
Phone (651) 270-5903

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1174700611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16995 ENFIELD PATH",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444769",
            "telephone_number": "651-270-5903",
            "fax_number": "651-998-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16995 ENFIELD PATH",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444769",
            "telephone_number": "651-270-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "GOELDNER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-270-5903",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.