Individual provider Active NPI

Callie Lee Steinberg, MS, LPCC

  • Professional Counselor
  • Sartell, MN
National Provider Identifier
1609633759
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4330 Issued in MN
Practice address
110 14TH Ave E
Sartell, MN 56377-4644
Phone
(320) 202-1400
Fax
(320) 202-8662
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4330 MN Primary

Addresses

Primary practice location

110 14TH Ave E
Sartell, MN 56377-4644

Mailing address

110 14TH Ave E
Sartell, MN 56377-4644
Phone (320) 202-1400

Other practice location 1

209 S 2nd St Ste 300
Mankato, MN 56001-3639
Phone (888) 833-2859

Other names 1

  • Callie Lee Zimmerman Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240823001788 MN Practitioner - Mental Health Counselor 8628513876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4330MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Work Counseling, LLC CurrentSince May 28, 2024 Accepting new patients
Core Professional Services, P.a. CurrentSince Apr 26, 2024 Accepting new patients

Locations

209 S 2nd St
Ste 300
Mankato, MN 56001
Phone (320) 828-6485

11925 Highway 65 NE
Minneapolis, MN 55434
Phone (763) 746-0842

110 14th Ave E
Sartell, MN 56377
Phone (320) 202-1400

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1609633759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 14TH AVE E",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774644",
            "telephone_number": "320-202-1400",
            "fax_number": "320-202-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 14TH AVE E",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774644",
            "telephone_number": "320-202-1400",
            "fax_number": "320-202-8662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 S 2nd St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560013639",
            "country_code": "US",
            "telephone_number": "888-833-2859",
            "fax_number": "218-818-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINBERG",
        "first_name": "CALLIE",
        "middle_name": "LEE",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLIE",
            "last_name": "ZIMMERMAN",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.