NPIMap

Organization Active NPI

Red River Counseling, PLLC

  • Psychologist
  • Moorhead, MN
National Provider Identifier
1275838781
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP 3183 Issued in MN
Legal business name
RED RIVER COUNSELING, PLLC
Practice address
403 Center Ave
Suite 410
Moorhead, MN 56560-1975
Phone
(218) 227-0338
Fax
(218) 227-0338
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Linda R Hamann, MS LP
Title
President
Phone
(218) 227-0338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X LP 3183 MN Primary

Addresses

Primary practice location

403 Center Ave
Suite 410
Moorhead, MN 56560-1975

Mailing address

403 Center Ave
Suite 410
Moorhead, MN 56560-1975
Phone (218) 227-0338

Other identifiers 2

IdentifierTypeStateIssuer
18311MedicaidND
481216600MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1275838781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CENTER AVE",
            "address_2": "SUITE 410",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601975",
            "telephone_number": "218-227-0338",
            "fax_number": "218-227-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CENTER AVE",
            "address_2": "SUITE 410",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601975",
            "telephone_number": "218-227-0338",
            "fax_number": "218-227-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "HAMANN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-227-0338",
        "authorized_official_credential": "MS LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 3183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18311",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481216600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.