Cedar River Counseling & Educational Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP3235 Issued in MN

Legal business name

CEDAR RIVER COUNSELING & EDUCATIONAL SERVICES, INC.

Practice address

1403 15TH Ave NW
Austin, MN 55912-1911

Phone

(507) 433-6482

Fax

(507) 433-0097

NPI assigned

Nov 9, 2005

Last updated

Jun 16, 2009By 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

Dr. Stanley R Miller, PSY.D.,L.P.NPI 1265413777

Title

Director/Psychologist

Phone

(507) 433-6482

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

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.

• Stanley R Miller, PSY.D.,L.P.

  • Psychologist
  • Austin, MN
  • NPI 1265413777
  Medicare reassignment NPD Authorized official
• Kevin McClure, LMFT

  • Mental Health Counselor
  • Rochester, MN
  • NPI 1356718134
  NPD (past)
• Kim Marie Quelle, LMFT

  • Marriage & Family Therapist
  • Austin, MN
  • NPI 1053926873
  NPD (past)
• Susanne Louise Stegenga, LICSW

  • Clinical Social Worker
  • Austin, MN
  • NPI 1841276615
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1679554497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 15TH AVE NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559121911",
            "telephone_number": "507-433-6482",
            "fax_number": "507-433-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 15TH AVE NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559121911",
            "telephone_number": "507-433-6482",
            "fax_number": "507-433-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIVER COUNSELING & EDUCATIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "507-433-6482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D.,L.P."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265413777",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsi Marie Carlson, APRN, CNP
• Jennifer Lee Carlson
• Elizabeth Carlton
• Robert A Cates, DO
• Cedar River Chiropractic, PLLC
• Cedar Valley Services, Inc.
• Ann Chamberlin
• Jill Lorraine Chao, CNM
• Erica Rose Chavie, MS
• Vijay Chawla, M.D.

• Clinical Psychologist in Austin, MN
• Providers in Austin, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.