NPIMap

Organization Active NPI

Southwestern Minnesota Adult Mental Health Consortium

Doing business as Southwinds Assertive Community Treatment

  • Mental Health Counselor
  • Worthington, MN
National Provider Identifier
1629190129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOUTHWESTERN MINNESOTA ADULT MENTAL HEALTH CONSORTIUM
Doing business as
Southwinds Assertive Community Treatment
Practice address
909 4TH Ave
Suite C
Worthington, MN 56187-2326
Phone
(507) 372-2155
Fax
(507) 372-2179
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lee McAllister
Title
Board Chair
Phone
(507) 372-2157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

909 4TH Ave
Suite C
Worthington, MN 56187-2326

Mailing address

2200 23Rd St NE
Suite 2050
Willmar, MN 56201-6600
Phone (320) 441-6340

Other names 1

  • Southwinds Assertive Community Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southwestern Minnesota Adult Mental Health Consortium4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629190129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 23RD ST NE",
            "address_2": "SUITE 2050",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562016600",
            "telephone_number": "320-441-6340",
            "fax_number": "320-441-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 4TH AVE",
            "address_2": "SUITE C",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872326",
            "telephone_number": "507-372-2155",
            "fax_number": "507-372-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN MINNESOTA ADULT MENTAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "507-372-2157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwinds Assertive Community Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, MN

Sources for this page

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

Verify at the official NPI Registry.