Individual provider Active NPI

Holly Beth Raatz

  • Marriage & Family Therapist
  • Albert Lea, MN
National Provider Identifier
1285373381
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
122 N 2ND Ave
Albert Lea, MN 56007-1722
Phone
(507) 402-9473
NPI assigned
May 27, 2022
Last updated
May 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

122 N 2ND Ave
Albert Lea, MN 56007-1722

Mailing address

1400 Madison Ave Ste 610
Mankato, MN 56001-5488

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
I20250320003510 MN Practitioner - Mental Health Counselor 2062934904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 S Newton Ave
Albert Lea, MN 56007-2524
Phone (507) 668-4004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway to Healing Counseling Services, LLC CurrentSince Jun 3, 2024 Accepting new patients
Adult, Child & Family Services, LLC CurrentSince May 29, 2022 Accepting new patients

Locations

131 S Newton Ave
Albert Lea, MN 56007
Phone (507) 668-4004

1400 Madison Ave
Ste 610
Mankato, MN 56001
Phone (507) 387-3777

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, 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": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1285373381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 610",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N 2ND AVE",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071722",
            "telephone_number": "507-402-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAATZ",
        "first_name": "HOLLY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

Verify at the official NPI Registry.