Active NPI
Laura Lee Runia
- Professional Counselor
- Willmar, MN
National Provider Identifier
1821554627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC02033
- Practice address
- 1125 6TH St SE
Willmar, MN 56201-4675 - Phone
- (320) 235-4613
- NPI assigned
- Feb 16, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC02033 | MN | Primary |
Addresses
Primary practice location
1125 6TH St SE
Willmar, MN 56201-4675
Mailing address
306 Montrose Rd
Saint Cloud, MN 56301-9613
Phone (763) 267-1605
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC02033 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Past | Accepting new patients | |
| Family Support Services Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1821554627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 MONTROSE RD",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563019613",
"telephone_number": "763-267-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 6TH ST SE",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014675",
"telephone_number": "320-235-4613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNIA",
"first_name": "LAURA LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-16",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC02033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.