Active NPI
Peggy Sue Hesse, LP
- Mental Health Counselor
- Mankato, MN
National Provider Identifier
1780739748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LP1598
- Practice address
- 209 S 2ND St
Suite 306
Mankato, MN 56001-3626 - Phone
- (507) 387-1350
- Fax
- (507) 387-6605
- NPI assigned
- Jan 23, 2007
- Last updated
- Apr 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LP1598 | MN | Primary |
Addresses
Primary practice location
209 S 2ND St
Suite 306
Mankato, MN 56001-3626
Mailing address
209 S 2ND St
Ste 306
Mankato, MN 56001-3639
Phone (507) 387-1350
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6H524HE | Other | MN | BLUE CROSS |
| HP28748 | Other | MN | HEALTH PARTNERS |
| 1021815 | Other | MN | PREFERRED ONE |
| 393553100 | Medicaid | MN | |
| 6145480 | Other | MN | UNITED BEHAVORIAL HEALTH |
| 114894 | Other | MN | UCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1598 | MN | MD | Mental Health Counselor |
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.
-
- Mental Health Counselor
- Mankato, MN
- NPI 1679628192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1780739748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 S 2ND ST",
"address_2": "STE 306",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013639",
"telephone_number": "507-387-1350",
"fax_number": "507-387-6605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S 2ND ST",
"address_2": "SUITE 306",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013626",
"telephone_number": "507-387-1350",
"fax_number": "507-387-6605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESSE",
"first_name": "PEGGY SUE",
"name_prefix": "Dr.",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "LP1598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "6H524HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP28748",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1021815",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "393553100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVORIAL HEALTH",
"identifier": "6145480",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "114894",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.