Active NPI
Christopher W Strahlenbach, MA, LPCC
- Mental Health Counselor
- Baxter, MN
National Provider Identifier
1598387706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC02166
- Practice address
- 13045 Falcon Dr Ste 100
Baxter, MN 56425-4201 - Phone
- (218) 829-9307
- NPI assigned
- May 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60201099 | WA | |
| Mental Health Counselor | 101YM0800X | CC02166 | MN | Primary |
Addresses
Primary practice location
13045 Falcon Dr Ste 100
Baxter, MN 56425-4201
Mailing address
619 S 10TH St
Brainerd, MN 56401-4146
Phone (218) 316-0079
Other practice location 1
619 S 10th St
Brainerd, MN 56401-4146
Phone (218) 316-0079
Other names 1
- Christopher W Boylan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC02166 | MN | MD | Mental Health Counselor |
| LH60201099 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1598387706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 S 10TH ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564014146",
"telephone_number": "218-316-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13045 FALCON DR STE 100",
"city": "BAXTER",
"state": "MN",
"postal_code": "564254201",
"telephone_number": "218-829-9307"
}
],
"practiceLocations": [
{
"address_1": "619 S 10th St",
"address_purpose": "LOCATION",
"city": "Brainerd",
"state": "MN",
"postal_code": "564014146",
"country_code": "US",
"telephone_number": "218-316-0079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRAHLENBACH",
"first_name": "CHRISTOPHER",
"middle_name": "W",
"credential": "MA, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60201099",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC02166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTOPHER",
"last_name": "BOYLAN",
"middle_name": "W",
"credential": "LHMC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.