Active NPI
The Way Mental Health Services Professional Corporation
- Mental Health Counselor
- Crosslake, MN
National Provider Identifier
1689374613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THE WAY MENTAL HEALTH SERVICES PROFESSIONAL CORPORATION
- Practice address
- 35548 County Road 66
Crosslake, MN 56442-4115 - Phone
- (218) 692-5152
- NPI assigned
- Mar 8, 2023
- Last updated
- Mar 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jill Gibbs
- Title
- Chairperson of the Board
- Phone
- (612) 382-6916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
35548 County Road 66
Crosslake, MN 56442-4115
Mailing address
PO Box 127
Crosslake, MN 56442-0127
Phone (612) 220-7257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
35548 County Road 66
Crosslake, MN 56442
Phone (218) 692-5151
Practitioners & affiliated clinicians
Practitioners 1
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": "1678233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678233600000",
"number": "1689374613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "CROSSLAKE",
"state": "MN",
"postal_code": "564420127",
"telephone_number": "612-220-7257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35548 COUNTY ROAD 66",
"city": "CROSSLAKE",
"state": "MN",
"postal_code": "564424115",
"telephone_number": "218-692-5152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WAY MENTAL HEALTH SERVICES PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "CHAIRPERSON OF THE BOARD",
"authorized_official_telephone_number": "612-382-6916",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crosslake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.