Charline Bengtson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3047 Issued in MN

Practice address

105 2ND Ave NE Ste 110
Glenwood, MN 56334-1226

Phone

(320) 428-0744

Fax

(320) 438-2829

NPI assigned

May 18, 2015

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Country Counseling P.C.

  dba North Country Counseling

  • Community/Behavioral Health Agency
  • Glenwood, MN
  • NPI 1982115390
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1487032926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 2ND AVE NE STE 110",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341226",
            "telephone_number": "320-428-0744",
            "fax_number": "320-438-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 2ND AVE NE STE 110",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341226",
            "telephone_number": "320-428-0744",
            "fax_number": "320-438-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "CHARLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "11524",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487032926",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Ankeny, FNP-C
• Bartell Chiropractic Center, P.a.
• Michael William Bartell, D.C.
• Payton Bausman, MD
• Megan L Belgum
• Lisa Bonk, CCC-SLP
• Sharon Lynn Braaten, RN, PHN
• Cassandra Brix, MS, LMFT
• Roderick Benjamin Brown, M.D.
• Dana Lyn Citrowske Lee, CRNA

• Marriage & Family Therapist in Glenwood, MN
• Providers in Glenwood, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.