Organization Active NPI

Healing Transformations Counseling PLLC

  • Clinical Social Worker
  • Alexandria, MN
National Provider Identifier
1386172633
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9111 Issued in MN
Legal business name
HEALING TRANSFORMATIONS COUNSELING PLLC
Practice address
700 Cedar St Ste 230
Alexandria, MN 56308-1769
Phone
(320) 522-0718
Fax
(320) 262-8395
NPI assigned
May 31, 2017
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Pamela Jean Kubesh, LICSWNPI 1568732402
Title
Administrator/President
Phone
(320) 522-0718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9111 MN Primary

Addresses

Primary practice location

700 Cedar St Ste 230
Alexandria, MN 56308-1769

Mailing address

700 Cedar St Ste 230
Alexandria, MN 56308-1769
Phone (320) 522-0718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240723002851 MN Part B Supplier - Clinic/Group Practice 8224574538 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, MN

National Provider Directory

National Provider Directory

Locations

700 Cedar St
Ste 230
Alexandria, MN 56308
Phone (320) 522-0718

1635 W Lincoln Ave
Ste 3
Olivia, MN 56277

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1386172633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CEDAR ST STE 230",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081769",
            "telephone_number": "320-522-0718",
            "fax_number": "320-262-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CEDAR ST STE 230",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081769",
            "telephone_number": "320-522-0718",
            "fax_number": "320-262-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TRANSFORMATIONS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "KUBESH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "320-522-0718",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.