Individual provider Active NPI

Natalie Ann Radich

  • Mental Health Counselor
  • Mora, MN
National Provider Identifier
1831664275
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC00564 Issued in MN
Practice address
2031 Rowland Rd
Mora, MN 55051-7119
Phone
(844) 314-4673
NPI assigned
Oct 12, 2018
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC00564 MN Primary
Mental Health Counselor 101YM0800X 10115-125 WI

Addresses

Primary practice location

2031 Rowland Rd
Mora, MN 55051-7119

Mailing address

2031 Rowland Rd
Mora, MN 55051-7119
Phone (844) 314-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250923000750 WI Practitioner - Mental Health Counselor 0941705909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Croix CountyGroup PAC ID 3779676044, 9 clinicians

Practice addresses (Care Compare)

1752 Dorset LN
New Richmond, WI 54017-2452
Phone (715) 246-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC00564MNMDMental Health Counselor
10115-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix County CurrentSince Aug 6, 2025 Accepting new patients
St Croix County CurrentSince Aug 6, 2025 Accepting new patients
St Croix County Current Accepting new patients

Locations

1445 N 4th St
New Richmond, WI 54017
Phone (715) 246-6991

1752 Dorset Ln
New Richmond, WI 54017
Phone (715) 246-6991

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1831664275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 ROWLAND RD",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550517119",
            "telephone_number": "844-314-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 ROWLAND RD",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550517119",
            "telephone_number": "844-314-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADICH",
        "first_name": "NATALIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00564",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10115-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mora, MN

Sources for this page

Verify at the official NPI Registry.