Individual provider Active NPI

Mario Walter Einsman, M.S.

  • Clinical Social Worker
  • Winona, MN
National Provider Identifier
1336286202
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9120 Issued in MN
Practice address
111 Market St
Suite 4a
Winona, MN 55987-5532
Phone
(507) 452-5033
Fax
(507) 452-5183
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9120 MN Primary
Clinical Social Worker 1041C0700X 4231-123 WI
Marriage & Family Therapist 106H00000X 656 MN

Addresses

Primary practice location

111 Market St
Suite 4a
Winona, MN 55987-5532

Mailing address

PO Box 185
Suite 4a
Winona, MN 55987-0185
Phone (507) 452-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090520000398 WI Practitioner - Clinical Social Worker 2668521774 Reassigns benefits to 1 organization
I20251114002077 MN Practitioner - Marriage and Family Therapist 2668521774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling AssociatesGroup PAC ID 3678622784, 16 clinicians

Practice addresses (Care Compare)

111 Market St
Suite 4a
Winona, MN 55987-5532
Phone (507) 452-5033

115 5TH Ave S
Suite 301
La Crosse, WI 54601-4098
Phone (608) 785-0827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
656MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates CurrentSince May 4, 2009 Accepting new patients
Counseling Associates Marriage & Family Therapist CurrentSince Apr 9, 2024 Accepting new patients

Locations

111 Market St
Ste 4A
Winona, MN 55987
Phone (507) 452-5033

115 5th Ave S
Ste 3
La Crosse, WI 54601
Phone (608) 785-0827

115 5th Ave S
Ste 301
La Crosse, WI 54601
Phone (608) 785-0827

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1336286202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "address_2": "SUITE 4A",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559870185",
            "telephone_number": "507-452-5033",
            "fax_number": "507-452-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARKET ST",
            "address_2": "SUITE 4A",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875532",
            "telephone_number": "507-452-5033",
            "fax_number": "507-452-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EINSMAN",
        "first_name": "MARIO",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9120",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "4231-123",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.