Scott Alan Siegersma, MS, LPC ,NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC00968 Issued in MN

Practice address

121 S Marshall St
Caledonia, MN 55921-1326

Phone

(507) 454-4341

Fax

(507) 453-6267

NPI assigned

Nov 19, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling AssociatesGroup PAC ID 3678622784, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Law

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counseling Associates

  • Community/Behavioral Health Agency
  • Winona, MN
  • NPI 1063686970

  MN

  Medicare reassignment Care Compare group NPD
• Hiawatha Valley Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caledonia, MN
  • NPI 1912223033
  NPD (past)
• Hiawatha Valley Mental Health Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winona, MN
  • NPI 1184606337
  NPD (past)
• Counseling Associates

  • Multi-Specialty Clinic/Center
  • Lacrosse, WI
  • NPI 1629382825
  NPD (past)

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1851693147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 MAIN ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873405",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MARSHALL ST",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "559211326",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGERSMA",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "credential": "MS, LPC ,NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "LPC00968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rushford Drug Company
• Joannie Schmidt, RN
• Milton Joseph Schoeberl, DC
• Gloria Evelan Schroeder
• Senior Management Inc.
• Kristen Lee Tadewald, RDH
• Traveling Health LLC
• Stacey Darlene Yahnke, DDS
• Mark Suart Zard, DDS

• All providers in Caledonia, MN
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.

Verify at the official NPI Registry.