Chain of Lakes Counseling, LLC
Organization Active NPI Psychologist · Paynesville, MN
NPI 1245058635 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1245058635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- CHAIN OF LAKES COUNSELING, LLC
- Practice address
- 54064 Csah 20
Paynesville, MN 56362-9533 - Phone
- (320) 492-9668
- NPI assigned
- Oct 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Heather Anderson
- Title
- Owner
- Phone
- (320) 492-9668
Practitioners 1
-
Heather Lynn Anderson, LMFT, LP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241022005057 | MN | Part B Supplier - Clinic/Group Practice | 3779016274 |
Receives reassigned benefits from 1 practitioner Practice locations: Cold Spring, MN |
National Provider Directory
Locations
215 1st St S
Ste 205
Cold Spring, MN 56320
Phone (320) 492-9668
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes | ||
| Marriage & Family Therapist |
106H00000X |
Addresses
Primary practice location
54064 Csah 20
Paynesville, MN 56362-9533
Mailing address
54064 Csah 20
Paynesville, MN 56362-9533
Phone (320) 492-9668
Other providers in Paynesville, MN
- Centracare Health - Paynesville LLC
- Centracare Health-Paynesville LLC
- Centracare Health-Paynesville LLC
- Centracare Health-Paynesville LLC
- Centracare Health-Paynesville LLC
- Cura of Paynesville LLC
- Cura of Paynesville LLC
- Dan Eckmann DDS, Inc
- Tyler Davis
- Melissa Lynn Dols
All providers in Paynesville, MN · Psychologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.