Amber Gustafson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2698 Issued in MN

Practice address

155 Shady Ridge Rd NW
Hutchinson, MN 55350-1460

Phone

(320) 234-3451

Fax

(320) 587-0993

NPI assigned

Aug 16, 2016

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andrew J Larson Counseling ServicesGroup PAC ID 7113469594, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Andrew J Larson Counseling Services

  dba NorthStar Counseling Center

  • Marriage & Family Therapist
  • Hutchinson, MN
  • NPI 1962761981
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1811442155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SHADY RIDGE RD NW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553501460",
            "telephone_number": "320-234-3451",
            "fax_number": "320-587-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SHADY RIDGE RD NW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553501460",
            "telephone_number": "320-234-3451",
            "fax_number": "320-587-0993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Hassan St SE",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "553502521",
            "country_code": "US",
            "telephone_number": "320-234-3451",
            "fax_number": "320-587-0993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "AMBER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Kathleen Gostonczik
• Grand St Paul CVS LLC (CVS Pharmacy #16565)
• Cassandra Green, RN, FNP-C
• Scott Groehler, RPH
• Nicole Gueningsman, RN
• Madison Nicole Guza
• Ashley L Hackett, LPN
• Mark Kevin Hagberg, M.D.
• Amanda Elizabeth Haik
• Arzo Hakimi, RN

• Marriage & Family Therapist in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.