Life Counseling Duluth

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE COUNSELING DULUTH

Practice address

4501 Glenwood St
Duluth, MN 55804-1258

Phone

(218) 209-2930

NPI assigned

Sep 13, 2024

Last updated

Dec 26, 2024By 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

Laura Halvorsen FregardNPI 1538842331

Title

Owner

Phone

(218) 209-2930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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.

• Laura Janet Halvorsen Fregard, MSW, LICSW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1538842331
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1336975473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 GLENWOOD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558041258",
            "telephone_number": "218-209-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 GLENWOOD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558041258",
            "telephone_number": "218-209-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COUNSELING DULUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "HALVORSEN FREGARD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-209-2930"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lice Lounge Duluth, LLC (Lice Lounge Duluth)
• Fayja Lichtenberg
• Monica Liddle, ND, LM, CPM
• Gerald Lieberg, SLP
• Dalerie Jean Lieberz, PT
• Lifestone Health Care, Inc.
• Lifeview Glaucoma Center, P.C. (LifeviewMD Health and Vision)
• Lighthouse Center for Vital Living (Duluth Lighthouse for the Blind, Inc.)
• Gerald Lilja, MSW, LICSW
• Wade Alan Lillegard

• Mental Health Counselor in Duluth, MN
• Providers in Duluth, 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 Dec 26, 2024; 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.