Sharon R Raugutt, LPCC – Professional Counselor

Key facts

NPI: 1194021139
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: CC02381 (MN)
Practice address: 41989 Morrison Line Rd
Cushing, MN 56443-5034
Phone: (218) 214-9518
Fax: (218) 214-9363
NPI assigned: Feb 9, 2011
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Redemption Psychotherapy Services PLLC Community/Behavioral Health Agency · Cushing, MN · NPI 1508462615

NPD
Village Family Service Center Mental Health Clinic/Center (Including Community Mental Health Center) · Fargo, ND · NPI 1568492353

NPD (past) PROFESSIONAL
Village Family Service Center Substance Abuse Rehabilitation Facility · Fargo, ND · NPI 1952679318

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
CC02381	MN	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Redemption Psychotherapy Services PLLC		Current since May 25, 2021	Accepting new patients
Village Family Service Center		Past since Feb 1, 2020	Accepting new patients
Village Family Service Center	Professional	Past since Feb 1, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	681-2-1-11-280	ND
Professional Counselor	101YP2500X	CC02381	MN	Yes

Addresses

Primary practice location

41989 Morrison Line Rd
Cushing, MN 56443-5034

Mailing address

41989 Morrison Line Rd
Cushing, MN 56443-5034
Phone (218) 214-9518

Other practice location 1

41989 Morrison Line Rd
Cushing, MN 56443-5034
Phone (701) 320-8623

Other names

Sharon R Carlson Former name

Other providers in Cushing, MN

All providers in Cushing, MN · Professional Counselor in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.