NPIMap

Organization Active NPI

Greater Minnesota Trauma Center LLC

  • Mental Health Counselor
  • Saint Peter, MN
National Provider Identifier
1588385231
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GREATER MINNESOTA TRAUMA CENTER LLC
Practice address
108 S Minnesota Ave
Saint Peter, MN 56082
Phone
(507) 720-1401
Fax
(507) 353-0017
NPI assigned
Sep 9, 2022
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Justin Coates, LPCCNPI 1598401572
Title
Owner & Clinical Director
Phone
(507) 720-1401

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

108 S Minnesota Ave
Saint Peter, MN 56082

Mailing address

108 S Minnesota Ave
Saint Peter, MN 56082
Phone (507) 720-1401

National Provider Directory

National Provider Directory

Locations

108 S Minnesota Ave
Saint Peter, MN 56082
Phone (507) 720-1401

208 S Minnesota Ave
Saint Peter, MN 56082
Phone (507) 200-1667

Practitioners & affiliated clinicians

Practitioners 4

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": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1588385231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MINNESOTA AVE",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "56082",
            "telephone_number": "507-720-1401",
            "fax_number": "507-353-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MINNESOTA AVE",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "56082",
            "telephone_number": "507-720-1401",
            "fax_number": "507-353-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MINNESOTA TRAUMA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "507-720-1401",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.