Individual provider Active NPI

Mary Elizabeth Vanalstine, LPCC

  • Professional Counselor
  • West Saint Paul, MN
National Provider Identifier
1861261877
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4203 Issued in MN
Practice address
327 Hurley St W
West Saint Paul, MN 55118-1209
Phone
(763) 501-5637
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4203 MN Primary

Addresses

Primary practice location

327 Hurley St W
West Saint Paul, MN 55118-1209

Mailing address

327 Hurley St W
West Saint Paul, MN 55118-1209
Phone (763) 501-5637

Other names 1

  • Mary Stewart Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240227002810 MN Practitioner - Mental Health Counselor 9032554290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Ridge Center PLLCGroup PAC ID 2365339322, 12 clinicians

Practice addresses (Care Compare)

14665 Galaxie Ave
Suite 210
Apple Valley, MN 55124-4510
Phone (952) 431-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4203MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Ridge Center PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

14665 Galaxie Ave
Ste 210
Saint Paul, MN 55124
Phone (952) 212-2103

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1861261877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 HURLEY ST W",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551181209",
            "telephone_number": "763-501-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 HURLEY ST W",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551181209",
            "telephone_number": "763-501-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANALSTINE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "STEWART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.