Joanne Marie Riegert

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00978 Issued in MN

Practice address

1339 Pelican LN
Detroit Lakes, MN 56501-2726

Phone

(218) 847-8572

Fax

(218) 847-6113

NPI assigned

May 11, 2015

Last updated

May 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lakes Crisis & Resource Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit Lakes, MN
  • NPI 1720344286
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1861870818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 130TH AVE",
            "city": "WAUBUN",
            "state": "MN",
            "postal_code": "565899197",
            "telephone_number": "218-473-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 PELICAN LN",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012726",
            "telephone_number": "218-847-8572",
            "fax_number": "218-847-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGERT",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MN, BOARD OF BEHAVIORAL HEALTH AND THERAPY",
            "identifier": "CC00978",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan James Reese, CNP
• Johnathan Repoyo
• Richard N Kittelson (Optical Eyedeas)
• Jacob Ray Richter
• Mary Jane Richter
• Riewer & Steinmetz DDS PLLC (Lakeridge Dental)
• Kristine M Riewer, DDS
• Abigail K Ring, MD
• Ryan Lincoln Ritchie, D.D.S
• Tracy L Roforth, OT

• Professional Counselor in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.