Active NPI
Natalie Ann Radich
- Mental Health Counselor
- Mora, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC00564
- Practice address
- 2031 Rowland Rd
Mora, MN 55051-7119 - Phone
- (844) 314-4673
- NPI assigned
- Oct 12, 2018
- Last updated
- Sep 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CC00564 | MN | MD | Mental Health Counselor |
| 10115-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Croix County | Current | Accepting new patients | |
| St Croix County | Current | 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.
-
dba St Croix County Health and Human Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Richmond, WI
- NPI 1932265105
-
dba St. Croix County Public Health
- Public Health or Welfare Agency
- New Richmond, WI
- NPI 1659553618
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
- Cassie Peterson, MS, LMFT
- Jennifer Lynn Peterson
- Shane Peterson
- Susan R Peterson
- Playful Healing, LLC
- Jeremiah Scott Randall, PMHNP-BC
- Karen K Rasmusson, NP
- Recovering Hope Treatment Center LLC
- Recovering Hope Treatment Center, Inc.
- Recovering Hope Treatment Center, Inc. (Recovering Hope Outpatient Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.