Active NPI
Congruency Psychotherapy LLC
- Clinical Social Worker
- Montgomery, MN
National Provider Identifier
1467800201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20331
- Legal business name
- CONGRUENCY PSYCHOTHERAPY LLC
- Practice address
- 9733 Kent Ave
Montgomery, MN 56069-4903 - Phone
- (612) 227-9310
- NPI assigned
- Jun 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathryn R Langdon, MA, MSW, LICSW
- Title
- Owner/Clinical Director
- Phone
- (507) 744-4272
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20331 | MN | Primary |
Addresses
Primary practice location
9733 Kent Ave
Montgomery, MN 56069-4903
Mailing address
9733 Kent Ave
Montgomery, MN 56069-4903
Phone (612) 227-9310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Montgomery, MN
- NPI 1265773527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567641600000",
"number": "1467800201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9733 KENT AVE",
"city": "MONTGOMERY",
"state": "MN",
"postal_code": "560694903",
"telephone_number": "612-227-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9733 KENT AVE",
"city": "MONTGOMERY",
"state": "MN",
"postal_code": "560694903",
"telephone_number": "612-227-9310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONGRUENCY PSYCHOTHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-02",
"last_updated": "2019-09-05",
"status": "A",
"authorized_official_last_name": "LANGDON",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "507-744-4272",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, MSW, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "20331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.