Active NPI
Full Circle Counseling and Wellness, PC
- Mental Health Counselor
- Owatonna, MN
National Provider Identifier
1831739788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FULL CIRCLE COUNSELING AND WELLNESS, PC
- Practice address
- 1880 Austin Rd Ste 1
Owatonna, MN 55060-4544 - Phone
- (507) 214-2016
- Fax
- (507) 214-2017
- NPI assigned
- Jan 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl D Bissonette, MA, LMFT
- Title
- Vice President
- Phone
- (507) 214-2016
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Registered Dietitian | 133V00000X |
Addresses
Primary practice location
1880 Austin Rd Ste 1
Owatonna, MN 55060-4544
Mailing address
1880 Austin Rd Ste 1
Owatonna, MN 55060-4544
Phone (507) 214-2016
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CounSol.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220813000581 | MN | Part B Supplier - Clinic/Group Practice | 0547643298 |
Receives reassigned benefits from 7 practitioners Practice locations: Owatonna, MN |
National Provider Directory
National Provider DirectoryLocations
125 Landmark Dr NE
Ste 2
Owatonna, MN 55060
Phone (507) 214-2016
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Alexandria, MN
- NPI 1447989272
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1831739788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 AUSTIN RD STE 1",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550604544",
"telephone_number": "507-214-2016",
"fax_number": "507-214-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 AUSTIN RD STE 1",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550604544",
"telephone_number": "507-214-2016",
"fax_number": "507-214-2017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE COUNSELING AND WELLNESS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-08",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "BISSONETTE",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "507-214-2016",
"authorized_official_credential": "MA, LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CounSol.com",
"affiliation": "N",
"endpointDescription": "Practice Management Software",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1880 Austin Rd Ste 1",
"city": "Owatonna",
"state": "MN",
"country_code": "US",
"postal_code": "550604544",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.