Natasha Marie Gunderson, LADC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2377 Issued in MN

Practice address

6043 Hudson Rd Ste 200
Woodbury, MN 55125-1019

Phone

(651) 348-5594

Fax

(651) 925-8201

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Natasha Marie Prange Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairview Express Care

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606
  NPD
• Fairview Express Care

  • Urology Physician
  • Edina, MN
  • NPI 1699165324
  NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  NPD

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1306474036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 HUDSON RD STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251019",
            "telephone_number": "651-348-5594",
            "fax_number": "651-925-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 HUDSON RD STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251019",
            "telephone_number": "651-348-5594",
            "fax_number": "651-925-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 80th St S",
            "address_2": "Ste 108",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "MN",
            "postal_code": "55016",
            "country_code": "US",
            "telephone_number": "651-327-0652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "NATASHA",
        "middle_name": "MARIE",
        "credential": "LADC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2377",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "PRANGE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Guardian Nurses Home Care LLC
• Laura Catherine Guck, PT, DPT
• Guidance Home Healthcare, LLC
• Carl Richard Guiton, MD
• Breta Kae Gulbranson, RN
• Renee Gunderson, BS, CSAC, LADC
• Anna Gustafson, FNP-C
• Brady Gustafson
• Erica Lee Gustafson, PT
• Dallas Guyot

• Mental Health Counselor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.