Active NPI
Fergus Falls Family Counseling
- Mental Health Counselor
- Fergus Falls, MN
National Provider Identifier
1831895101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FERGUS FALLS FAMILY COUNSELING
- Practice address
- 116 E Lincoln Ave
Fergus Falls, MN 56537-2217 - Phone
- (218) 205-1079
- NPI assigned
- Feb 7, 2023
- 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
- Tamera S Churchill, LMFT
- Title
- President
- Phone
- (218) 205-1079
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
116 E Lincoln Ave
Fergus Falls, MN 56537-2217
Mailing address
23866 Canterbury LN
Fergus Falls, MN 56537-8113
Phone (218) 205-1079
Other practice location 1
23866 Canterbury Ln
Fergus Falls, MN 56537-8113
Phone (218) 205-1079
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Fergus Falls, MN
- NPI 1568093532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1831895101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23866 CANTERBURY LN",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565378113",
"telephone_number": "218-205-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E LINCOLN AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372217",
"telephone_number": "218-205-1079"
}
],
"practiceLocations": [
{
"address_1": "23866 Canterbury Ln",
"address_purpose": "LOCATION",
"city": "Fergus Falls",
"state": "MN",
"postal_code": "565378113",
"country_code": "US",
"telephone_number": "218-205-1079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FERGUS FALLS FAMILY COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "CHURCHILL",
"authorized_official_first_name": "TAMERA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "218-205-1079",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
- Karen Ellen Ferden, LPN
- Fergus Apothecary Inc
- Fergus Falls Area Special Education Cooperative
- Fergus Falls Community Counseling
- Fergus Falls Dental Group
- Fergus Falls Medical Group, P.a.
- Fergus Falls Medical Group, P.a.
- Fergus Falls Optometric Center, LTD
- Fergus Falls Regional Treatment Center
- Fergus Falls Vision Care PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.