Overson Family Based Counseling Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

17672 Issued in MN

Legal business name

OVERSON FAMILY BASED COUNSELING SERVICES, INC

Practice address

47205 336TH St
Gaylord, MN 55334-2241

Phone

(507) 327-4064

Fax

(507) 237-2647

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Colleen Overson, LICSW

Title

Family Based Therapist

Phone

(507) 327-4064

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Kay Bulau - Overson, LICSW

  • Clinical Social Worker
  • Gaylord, MN
  • NPI 1346413085
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1417116344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47205 336TH ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553342241",
            "telephone_number": "507-327-4064",
            "fax_number": "507-237-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47205 336TH ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553342241",
            "telephone_number": "507-327-4064",
            "fax_number": "507-237-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERSON FAMILY BASED COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "OVERSON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "FAMILY BASED THERAPIST",
        "authorized_official_telephone_number": "507-327-4064",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "17672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A327725700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKayla Nicole Narveson
• Kelli Nowak, MA, LPCC
• Oak Terrace Health Care Center of Gaylord ,LLC
• Oak Terrace Senior Housing of Gaylord,LLC
• Emily Ayleen Orocio
• Jaime Petersen, OTR/L
• Carol Polzin
• Belinda Rose Prachar, RN
• Kelli Quast
• Rachel Swenson Counseling LLC

• Community/Behavioral Health Agency in Gaylord, MN
• Providers in Gaylord, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.