Individual provider Active NPI

Lori Vigesaa, MS, NCC, CI/CT, LPCC

  • Mental Health Counselor
  • Frazee, MN
National Provider Identifier
1841823002
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC02373 Issued in MN
Practice address
12980 Carow Cir
Frazee, MN 56544-8604
Phone
(218) 343-8792
NPI assigned
Feb 17, 2020
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC02373 MN Primary

Addresses

Primary practice location

12980 Carow Cir
Frazee, MN 56544-8604

Mailing address

220 Railroad St SE
Pine City, MN 55063-1540
Phone (218) 343-8792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

State licenses

LicenseStateTypeSpecialty
CC02373MNMDMental Health Counselor
2373MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Services Agency Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

220 Railroad St SE
Pine City, MN 55063

Organizations & group practices 1

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1841823002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RAILROAD ST SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631540",
            "telephone_number": "218-343-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 CAROW CIR",
            "city": "FRAZEE",
            "state": "MN",
            "postal_code": "565448604",
            "telephone_number": "218-343-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGESAA",
        "first_name": "LORI",
        "credential": "MS, NCC, CI/CT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frazee, MN

Sources for this page

Verify at the official NPI Registry.