Charles Lamp, LMFT
Individual provider Active NPI Marriage & Family Therapist · Hutchinson, MN
NPI 1811243728 · NPPES record last updated Jul 29, 2012
Key facts
- NPI
- 1811243728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2520 (MN)
- Practice address
- 101 Main St S Ste 208
Hutchinson, MN 55350-2564 - Phone
- (320) 234-7100
- NPI assigned
- Jul 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241015003318 | MN | Practitioner - Marriage and Family Therapist | 1456883438 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodland Centers | Current |
Accepting new patients | |
| Woodland Centers | Past | Accepting new patients | |
| Lighthouse Counseling, LTD. | Past | Accepting new patients |
Locations
1125 6th St SE
Willmar, MN 56201
Phone (320) 231-9148
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2520 | MN | Yes |
Addresses
Primary practice location
101 Main St S Ste 208
Hutchinson, MN 55350-2564
Mailing address
101 Main St S Ste 208
Hutchinson, MN 55350-2564
Phone (320) 234-7100
Other providers in Hutchinson, MN
- Chelsea Krzmarzick
- Kent R Kuball
- James Kuehl
- Isabella Kuphal
- Lakeside Mental Health
- Linda S Landon
- Daniel Lang
- Andrew John Larson
- Jennifer Larson
- Lisa Susanne Larson
All providers in Hutchinson, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.