Maurice Lee Shoen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

08673 Issued in MN

Practice address

115 West First St
Fairmont, MN 56031

Phone

(507) 238-4757

Fax

(507) 238-1574

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Human Services of Faribault & Martin Counties

  • Public Health or Welfare Agency
  • Fairmont, MN
  • NPI 1376612820
  NPD (past)
• Paramed Services, Inc.

  • Registered Nurse
  • Rushford, MN
  • NPI 1346311768
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427142199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WEST FIRST ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "56031",
            "telephone_number": "507-238-4757",
            "fax_number": "507-238-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WEST FIRST ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "56031",
            "telephone_number": "507-238-4757",
            "fax_number": "507-238-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEN",
        "first_name": "MAURICE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "08673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "310458 UBS",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7G524SH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Selbrade
• Kelly Ray Shantz, CRNA
• Timothy Sheneman, D.O.
• Anne Sheppard, RD
• Kristine Marie Shoen, LICSW
• Rhonda Lee Shoen, RN
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Shoptikal LLC
• Alan G Siebert, RPH

• Mental Health Counselor in Fairmont, MN
• Providers in Fairmont, 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 Jul 8, 2007; 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.