Individual provider Active NPI

Maggie Kathleen Gostonczik

  • Mental Health Counselor
  • Hutchinson, MN
National Provider Identifier
1760084198
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1820 W Shore Dr SW
Hutchinson, MN 55350-6752
Phone
(320) 309-3808
NPI assigned
Nov 10, 2020
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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 MN Primary

Addresses

Primary practice location

1820 W Shore Dr SW
Hutchinson, MN 55350-6752

Mailing address

1820 W Shore Dr SW
Hutchinson, MN 55350-6752
Phone (320) 309-3808

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
I20260129001580 MN Practitioner - Mental Health Counselor 7315425584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Restorative Behavioral Health ServicesGroup PAC ID 3779060751, 3 clinicians

Practice addresses (Care Compare)

23505 Smithtown Rd
Suite 140
Excelsior, MN 55331-4542
Phone (320) 207-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Behavioral Health Services CurrentSince Dec 21, 2025 Accepting new patients

Locations

23505 Smithtown Rd
Ste 140
Excelsior, MN 55331
Phone (320) 207-2400

101 Main St S
Ste 102
Hutchinson, MN 55350
Phone (320) 207-2400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1760084198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W SHORE DR SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553506752",
            "telephone_number": "320-309-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W SHORE DR SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553506752",
            "telephone_number": "320-309-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSTONCZIK",
        "first_name": "MAGGIE",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, MN

Sources for this page

Verify at the official NPI Registry.