Individual provider Active NPI

Erin Simonson

  • Clinical Social Worker
  • Milaca, MN
National Provider Identifier
1285159145
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28789 Issued in MN
Practice address
1018 5TH St SE
Milaca, MN 56353-1300
Phone
(320) 402-0115
NPI assigned
Aug 11, 2017
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 302209 MN
Clinical Social Worker 1041C0700X 28789 MN Primary

Addresses

Primary practice location

1018 5TH St SE
Milaca, MN 56353-1300

Mailing address

1018 5TH St SE
Milaca, MN 56353-1300
Phone (320) 402-0115

Other practice location 1

150 10th St NW Ste 2
Milaca, MN 56353-1737
Phone (320) 983-2335

Other names 1

  • Erin Laventure 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
I20240924002054 MN Practitioner - Clinical Social Worker 2860933306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naturally Connected Counseling LLCGroup PAC ID 1951842491, 4 clinicians

Practice addresses (Care Compare)

425 10TH St NE
Suite 1
Milaca, MN 56353-1827
Phone (320) 402-0115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302209MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Naturally Connected Counseling LLC CurrentSince Aug 14, 2024 Accepting new patients
Awakened Connections Therapy Clinical PastSince Feb 1, 2025 Accepting new patients
Lighthouse Child & Family Services PastSince Sep 12, 2017 Accepting new patients

Locations

1018 5th St SE
Milaca, MN 56353
Phone (320) 402-0115

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1285159145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 5TH ST SE",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531300",
            "telephone_number": "320-402-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 5TH ST SE",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531300",
            "telephone_number": "320-402-0115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 10th St NW Ste 2",
            "address_purpose": "LOCATION",
            "city": "Milaca",
            "state": "MN",
            "postal_code": "563531737",
            "country_code": "US",
            "telephone_number": "320-983-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2024-04-04",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302209",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "LAVENTURE",
            "credential": "MSW, LICSW, LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milaca, MN

Sources for this page

Verify at the official NPI Registry.