Active NPI
Diane Caspers, LICENSED PSYCHOLOGST
- Psychologist
- Mankato, MN
National Provider Identifier
1356473193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3413
- Practice address
- 151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815 - Phone
- (073) 867-1215
- Fax
- (507) 344-0690
- NPI assigned
- Mar 9, 2007
- Last updated
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3413 | MN | Primary |
Addresses
Primary practice location
151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815
Mailing address
151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815
Phone (507) 386-7121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420080100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3413 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journeys Toward Healing Counseling Center LLC | Current | Accepting new patients | |
| Lutheran Social Service of Minnesota | Past | Accepting new patients |
Locations
151 Saint Andrews Ct
Ste 710
Mankato, MN 56001
Phone (507) 386-7121
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.
-
- Mental Health Counselor
- Mankato, MN
- NPI 1306134747
-
- Community/Behavioral Health Agency
- Saint Cloud, MN
- NPI 1629192430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1356473193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SAINT ANDREWS CT STE 710",
"city": "MANKATO",
"state": "MN",
"postal_code": "560018815",
"telephone_number": "507-386-7121",
"fax_number": "507-344-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 SAINT ANDREWS CT STE 710",
"city": "MANKATO",
"state": "MN",
"postal_code": "560018815",
"telephone_number": "073-867-1215",
"fax_number": "507-344-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPERS",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "LICENSED PSYCHOLOGST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2022-07-27",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420080100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.