Pure Potential Counseling

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

PURE POTENTIAL COUNSELING

Practice address

18685 Dylan Dr
Farmington, MN 55024-7070

Phone

(507) 210-6898

NPI assigned

May 11, 2020

Last updated

May 11, 2020By 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

Katherine Sue Deregnier, M.ED.NPI 1679992267

Title

LPCC

Phone

(507) 210-6898

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 10

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.

• Katherine Sue Deregnier, LPCC

  • Professional Counselor
  • Lakeville, MN
  • NPI 1679992267
  Medicare reassignment NPD Authorized official
• Sydney K Peters, LICSW

  • Mental Health Counselor
  • Farmington, MN
  • NPI 1992279152
  Medicare reassignment Care Compare group NPD
• Julie Lynn Beckmann, MSW, LICSW

  • Clinical Social Worker
  • Northfield, MN
  • NPI 1043933948
  Medicare reassignment Care Compare group
• Mary Anderson

  • Marriage & Family Therapist
  • Maplewood, MN
  • NPI 1124405667
  Medicare reassignment NPD
• Kaitlyn E Orzechowski, MA, LADC, LPCC

  • Mental Health Counselor
  • Farmington, MN
  • NPI 1114542610
  NPD
• Christopher R Simmins

  • Mental Health Counselor
  • Farmington, MN
  • NPI 1679304885
  NPD
• Lori Ann Wiedner, LPCC

  • Mental Health Counselor
  • Farmington, MN
  • NPI 1053134684
  NPD
• Gabrielle Fox

  • Clinical Social Worker
  • Farmington, MN
  • NPI 1275475147
  NPD (past)
• Tessa Fultz, LICSW

  • Social Worker
  • Farmington, MN
  • NPI 1568968204
  NPD (past)
• Paula Marie Holtman

  • Clinical Social Worker
  • Farmington, MN
  • NPI 1184556789

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1295357440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18685 DYLAN DR",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247070",
            "telephone_number": "507-210-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18685 DYLAN DR",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247070",
            "telephone_number": "507-210-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE POTENTIAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "DEREGNIER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "507-210-6898",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Poole, RN
• Heidi Porter, R.N.
• Karolyn Potter
• Nicole Whitney Price, M.S.
• Megan Provost, RN
• Curtis John Rapp, DC
• Melissa A Reinhardt, M.D.
• Daniela Renteria
• Restorative Path Counseling and Wellbeing
• Cianna Ashley Richardson, DPT

• Counseling Psychologist in Farmington, MN
• Providers in Farmington, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.