Organization Active NPI

Straight River Counseling LLC

  • Mental Health Counselor
  • Owatonna, MN
National Provider Identifier
1720979909
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STRAIGHT RIVER COUNSELING LLC
Practice address
245 18TH St SE Ste 102
Owatonna, MN 55060-4062
Phone
(507) 200-8330
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Mrs. Jessica Joy Borkenhagen, BA, MS, LPCCNPI 1104554310
Title
Mental Health Counselor
Phone
(507) 200-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

245 18TH St SE Ste 102
Owatonna, MN 55060-4062

Mailing address

636 12TH St SE
Owatonna, MN 55060-4109
Phone (507) 200-8330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260219002715 MN Part B Supplier - Clinic/Group Practice 2062993868 Receives reassigned benefits from 1 practitioner
Practice locations: Owatonna, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1720979909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 12TH ST SE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604109",
            "telephone_number": "507-200-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 18TH ST SE STE 102",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604062",
            "telephone_number": "507-200-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT RIVER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "BORKENHAGEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "507-200-8300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA, MS, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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 Sep 5, 2025; 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.