Individual provider Active NPI

Heather Cargill, L.P.

  • Clinical Psychologist
  • Rochester, MN
National Provider Identifier
1790879963
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP4477 Issued in MN
Practice address
1620 Greenview Dr SW
Rochester, MN 55902-4319
Phone
(507) 289-2089
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP4477 MN Primary

Addresses

Primary practice location

1620 Greenview Dr SW
Rochester, MN 55902-4319

Mailing address

1601 Highway 13 E
Ste. 101
Burnsville, MN 55337-6865
Phone (952) 895-9200

Other practice location 1

1601 Highway 13 E
Ste. 101
Burnsville, MN 55337-6865
Phone (952) 895-9200

Other identifiers 1

IdentifierTypeStateIssuer
308661500MedicaidMN

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
I20110202000278 MN Practitioner - Clinical Psychologist 3577743905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP4477MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro Valley Health Center CurrentSince Dec 2, 2024 Accepting new patients

Locations

1620 Greenview Dr SW
Rochester, MN 55902
Phone (507) 218-3701

343 Woodlake Dr SE
Rochester, MN 55904
Phone (507) 289-2089

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1790879963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E",
            "address_2": "STE. 101",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376865",
            "telephone_number": "952-895-9200",
            "fax_number": "952-895-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GREENVIEW DR SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024319",
            "telephone_number": "507-289-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Highway 13 E",
            "address_2": "Ste. 101",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553376865",
            "country_code": "US",
            "telephone_number": "952-895-9200",
            "fax_number": "952-895-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARGILL",
        "first_name": "HEATHER",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308661500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.