Individual provider Active NPI

Nicole J. Ramstad, LPCC

  • Professional Counselor
  • Red Wing, MN
National Provider Identifier
1194283945
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2835 S Service Dr Ste 103
Red Wing, MN 55066-1835
Phone
(651) 327-2270
Fax
(651) 327-2270
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2835 S Service Dr Ste 103
Red Wing, MN 55066-1835

Mailing address

2835 S Service Dr Ste 103
Red Wing, MN 55066-1835
Phone (651) 327-2270

Other practice location 1

420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Phone (507) 454-4341

Other names 1

  • Nicole J. Dickison Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241007000151 MN Practitioner - Mental Health Counselor 2163873514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Valley Mental Health Center Inc. CurrentSince Jun 20, 2024 Accepting new patients
Hiawatha Valley Mental Health Center PastSince May 19, 2024 Accepting new patients

Locations

2835 S Service Dr
Ste 103
Red Wing, MN 55066
Phone (651) 327-2270

611 Broadway Ave
Ste 100
Wabasha, MN 55981
Phone (651) 565-2234

420 E Sarnia St
Ste 2100
Winona, MN 55987
Phone (507) 454-4341

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/hvmhc/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1194283945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 S SERVICE DR STE 103",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661835",
            "telephone_number": "651-327-2270",
            "fax_number": "651-327-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S SERVICE DR STE 103",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661835",
            "telephone_number": "651-327-2270",
            "fax_number": "651-327-2270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E Sarnia St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MN",
            "postal_code": "559876414",
            "country_code": "US",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMSTAD",
        "first_name": "NICOLE",
        "middle_name": "J.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DICKISON",
            "middle_name": "J.",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Red Wing, MN

Sources for this page

Verify at the official NPI Registry.