Winona Counseling Clinic, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1028139-1-MHC Issued in MN

Legal business name

WINONA COUNSELING CLINIC, INC.

Doing business as

Associates in Counseling

Practice address

111 Riverfront
Suite 210
Winona, MN 55987-3456

Phone

(507) 454-3900

Fax

(507) 452-7459

NPI assigned

Jan 23, 2007

Last updated

Apr 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michelle L Johnson, MS, LPCC, LPC, LADCNPI 1326260118

Title

Director / Owner

Phone

(507) 454-3900

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Associates in Counseling Doing business as

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Johnson, M.S.

  • Mental Health Counselor
  • Winona, MN
  • NPI 1326260118
  NPD (past) Authorized official
• Stacey Nicole Bishofsky, LICSW

  • Clinical Social Worker
  • Fridley, MN
  • NPI 1346576444
  NPD (past)
• Richard Kenneth Dahl, MA, LADC, LICSW

  • Mental Health Counselor
  • Winona, MN
  • NPI 1225153265
  NPD (past)
• Leslie Ross Macbride, M.S., LP, PHD.

  • Psychologist
  • Winona, MN
  • NPI 1467616771
  NPD (past)
• Jodie Suzanne Szewczyk, M.A.

  • Mental Health Counselor
  • Winona, MN
  • NPI 1104040062
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1841344116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RIVERFRONT",
            "address_2": "SUITE 210",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873456",
            "telephone_number": "507-454-3900",
            "fax_number": "507-452-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RIVERFRONT",
            "address_2": "SUITE 210",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873456",
            "telephone_number": "507-454-3900",
            "fax_number": "507-452-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA COUNSELING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR / OWNER",
        "authorized_official_telephone_number": "507-454-3900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPCC, LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "8306881CDT",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2009",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1028139-1-MHC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD CD",
            "identifier": "9166WI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "128661",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38266WI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "326930",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Winona, MN
• Providers in Winona, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.