Grateful Heart Counseling LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GRATEFUL HEART COUNSELING LLC

Practice address

115 Litchfield Ave SE Ste 202
Willmar, MN 56201-3476

Phone

(320) 522-1411

NPI assigned

May 26, 2021

Last updated

Oct 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Ann LumbarNPI 1700972320

Title

Licensed Psychologist

Phone

(320) 522-1411

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Ann Lumbar, PSYD,LP

  • Psychologist
  • Willmar, MN
  • NPI 1700972320

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697241600000",
    "number": "1255906780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "FAIRFAX",
            "state": "MN",
            "postal_code": "553320396",
            "telephone_number": "320-522-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LITCHFIELD AVE SE STE 202",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013476",
            "telephone_number": "320-522-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "MN",
            "postal_code": "553324557",
            "country_code": "US",
            "telephone_number": "320-522-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRATEFUL HEART COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "LUMBAR",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "320-522-1411"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700972320",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Jessica Goldenstein, DO
• Sharon Diane Goosmann, D.C.
• Nathan Goracke, PHARMD
• Carrie Grady, LPCC
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• Sallie Graves
• Great River Endodontics, PA
• Greater Minnesota Family Services
• Green Lake Chiropractic, PA (Meridian Disc Institute)
• Michelle Lee Greydanus

• Clinical Psychologist in Willmar, MN
• Providers in Willmar, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.