Active NPI
Generations, Inc Counseling Associates
- Clinical Psychologist
- Fergus Falls, MN
National Provider Identifier
1780600189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4575
- Legal business name
- GENERATIONS, INC COUNSELING ASSOCIATES
- Practice address
- 225 W Cavour Ave
Fergus Falls, MN 56537-2103 - Phone
- (218) 998-3123
- Fax
- (218) 998-3126
- NPI assigned
- Jul 15, 2006
- 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
- Mr. Mark Carl Lysne, PH.D., LP
- Title
- Psychologist
- Phone
- (218) 998-3123
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 00257 | MN | |
| Clinical Psychologist | 103TC0700X | 4575 | MN | Primary |
Addresses
Primary practice location
225 W Cavour Ave
Fergus Falls, MN 56537-2103
Mailing address
225 W Cavour Ave
Fergus Falls, MN 56537-2103
Phone (218) 998-3123
National Provider Directory
National Provider DirectoryLocations
123 E Lincoln Ave
Ste 2
Fergus Falls, MN 56537
Phone (218) 998-3123
225 W Cavour Ave
Fergus Falls, MN 56537
Phone (218) 531-1424
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": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367452800000",
"number": "1780600189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W CAVOUR AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372103",
"telephone_number": "218-998-3123",
"fax_number": "218-998-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W CAVOUR AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372103",
"telephone_number": "218-998-3123",
"fax_number": "218-998-3126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERATIONS, INC COUNSELING ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2013-05-02",
"status": "A",
"authorized_official_last_name": "LYSNE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "218-998-3123",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PH.D., LP"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MN",
"license": "00257",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "4575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.