Organization Active NPI

Knutson Counseling & Seminars, Inc.

  • Mental Health Counselor
  • Willmar, MN
National Provider Identifier
1568784668
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11513 Issued in MN
Legal business name
KNUTSON COUNSELING & SEMINARS, INC.
Practice address
1809 19TH Ave SW
Willmar, MN 56201-4946
Phone
(320) 441-7000
NPI assigned
Feb 17, 2010
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Elizabeth Hillstrom
Title
Administrator
Phone
(320) 231-2738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11513 MN Primary

Addresses

Primary practice location

1809 19TH Ave SW
Willmar, MN 56201-4946

Mailing address

328 5TH St SW
Willmar, MN 56201-3200
Phone (320) 231-2738

Other practice location 1

215 N 1st St
Montevideo, MN 56265-1403
Phone (320) 441-7000

Other identifiers 6

IdentifierTypeStateIssuer
360S0KNOtherBCBS
20519475456201A006OtherMNTRICARE WEST
800001976OtherMEDICARE PTAN
70L94KNOtherMNBCBSMN
011064700OtherMNDHS
HP85447OtherMNHEALTH PARTNERS

Other names 1

  • Knutson Counseling & Seminars, Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100525000096 MN Part B Supplier - Clinic/Group Practice 6800925157 Receives reassigned benefits from 6 practitioners
Practice locations: Montevideo, MN; Willmar, MN

National Provider Directory

National Provider Directory

Locations

215 N 1st St
Montevideo, MN 56265
Phone (320) 441-7000

215 N 1st St
Ste 2
Montevideo, MN 56265
Phone (320) 441-7000

1604 1st St S
Ste 225
Willmar, MN 56201

1809 19th Ave SW
Willmar, MN 56201
Phone (320) 441-7000

328 5th St SW
Ste 5
Willmar, MN 56201

500 Industrial Dr SW
#102
Willmar, MN 56201
Phone (320) 220-2159

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1568784668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 5TH ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013200",
            "telephone_number": "320-231-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014946",
            "telephone_number": "320-441-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Montevideo",
            "state": "MN",
            "postal_code": "562651403",
            "country_code": "US",
            "telephone_number": "320-441-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KNUTSON COUNSELING & SEMINARS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "HILLSTROM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-231-2738"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "11513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "360S0KN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "20519475456201A006",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "800001976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN",
            "identifier": "70L94KN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS",
            "identifier": "011064700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP85447",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knutson Counseling & Seminars, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.

Verify at the official NPI Registry.