Organization Active NPI

Courage to Change Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owatonna, MN
National Provider Identifier
1639932940
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COURAGE TO CHANGE COUNSELING, LLC
Practice address
1850 Austin Rd Ste 100
Owatonna, MN 55060-4498
Phone
(507) 475-0041
NPI assigned
Jan 31, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Barbara Jo Schiltz, LMFT
Title
Sole Member/Owner
Phone
(507) 475-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1850 Austin Rd Ste 100
Owatonna, MN 55060-4498

Mailing address

2479 128TH St SE
Blooming Prairie, MN 55917-5994
Phone (507) 390-2991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240422002584 MN Part B Supplier - Clinic/Group Practice 1052750197 Receives reassigned benefits from 1 practitioner
Practice locations: Owatonna, MN

National Provider Directory

National Provider Directory

Locations

1850 Austin Rd
Ste 100
Owatonna, MN 55060
Phone (507) 475-0041

Practitioners & affiliated clinicians

Practitioners 2

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": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1639932940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2479 128TH ST SE",
            "city": "BLOOMING PRAIRIE",
            "state": "MN",
            "postal_code": "559175994",
            "telephone_number": "507-390-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 AUSTIN RD STE 100",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604498",
            "telephone_number": "507-475-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO CHANGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "SCHILTZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "507-475-0041",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.