Krisma Counseling Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17553 Issued in MN

Legal business name

KRISMA COUNSELING INC.

Practice address

112 W 1St St
Suite 104
Fairmont, MN 56031-1743

Phone

(507) 399-2149

Fax

(507) 399-2159

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Maurice Lee Shoen, LICSW

Title

Co-Owmer

Phone

(507) 399-2149

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Kimberly Kay Slette, LICSW

  • Clinical Social Worker
  • Mankato, MN
  • NPI 1427327899
  NPD (past)
• Molly Jean Weinberger

  • Mental Health Counselor
  • Mankato, MN
  • NPI 1902196207
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1477829737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 1ST ST",
            "address_2": "SUITE 104",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560311743",
            "telephone_number": "507-399-2149",
            "fax_number": "507-399-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 1ST ST",
            "address_2": "SUITE 104",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560311743",
            "telephone_number": "507-399-2149",
            "fax_number": "507-399-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISMA COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "SHOEN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO-OWMER",
        "authorized_official_telephone_number": "507-399-2149",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1DH74KR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6574051",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fidelis Musau Kiungua, NURSE PRACTITIONER
• Joseph Michael Klick, CRNA
• Sara Louise Kolbe, PHARMD
• Durga Komaragiri, M.D.
• Carol Koskovich, RD
• David Krusemark, CRNA
• Lakeview Methodist Health Care Center
• Taylor Autumn Landkamer, FNP-C
• Thomas Joe Larson, DDS
• William J Lee, M.D.

• Clinical Social Worker in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.