Organization Active NPI

Generations, Inc Counseling Associates

  • Clinical Psychologist
  • Fergus Falls, MN
National Provider Identifier
1780600189
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4575 Issued in MN
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

Updated by the provider on May 2, 2013

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 00257 MN
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.