Shalom Counseling & Consulting, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

14441 Issued in MN

Legal business name

SHALOM COUNSELING & CONSULTING, LLC

Practice address

204 2ND St
Jackson, MN 56143-1638

Phone

(507) 841-0728

Fax

(507) 847-4750

NPI assigned

Nov 6, 2010

Last updated

Nov 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlotte Diane Loewen, MSW, LICSW

Title

Manager

Phone

(507) 841-0728

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289001600000",
    "number": "1669773768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 2ND ST",
            "address_2": "P.O. BOX 223",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431638",
            "telephone_number": "507-841-0728",
            "fax_number": "507-847-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 2ND ST",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431638",
            "telephone_number": "507-841-0728",
            "fax_number": "507-847-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-06",
        "last_updated": "2010-11-06",
        "status": "A",
        "authorized_official_last_name": "LOEWEN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "507-841-0728",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "14441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacred Heart Mercy Health Care Center
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• Sanford Health Network (Lewis Family Drug #75)
• Sanford Health Network (Sanford Jackson Medical Center)
• Sanford Health Network (Sanford Jackson Medical Center)
• Shopko Stores Operating Co LLC (Shopko Pharmacy 777)
• Sioux Valley Regional Health Services (Jackson Medical Center Clinic)
• Destinie Stapleton
• The Dental Office Jackson
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Jackson)

• Community/Behavioral Health Agency in Jackson, MN
• Providers in Jackson, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2010; 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.