Individual provider Active NPI

Courtney Marie Toavs, MSW, LICSW

  • Mental Health Counselor
  • New Prague, MN
National Provider Identifier
1649028432
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
30817 Issued in MN
Practice address
208 2ND St SW
New Prague, MN 56071-2312
Phone
(952) 374-8359
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 30817 MN Primary

Addresses

Primary practice location

208 2ND St SW
New Prague, MN 56071-2312

Mailing address

208 2ND St SW
New Prague, MN 56071-2312
Phone (952) 374-8359

Other names 1

  • Courtney Marie Thomason 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
I20241028003217 MN Practitioner - Clinical Social Worker 0941733026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Development Resources PAGroup PAC ID 5890779847, 20 clinicians

Practice addresses (Care Compare)

7580 160TH St W
Lakeville, MN 55044-8348
Phone (952) 898-1133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30817MNMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Life Development Resources, PA Mental Health CurrentSince Oct 15, 2024 Accepting new patients

Locations

7580 160th St W
Lakeville, MN 55044
Phone (952) 898-1133

Organizations & group practices 1

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": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1649028432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 2ND ST SW",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712312",
            "telephone_number": "952-374-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 2ND ST SW",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712312",
            "telephone_number": "952-374-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOAVS",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "30817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "THOMASON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Prague, MN

Sources for this page

Verify at the official NPI Registry.