Rebecca Koskiniemi, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23999 Issued in MN

Practice address

118 Main Ave N Ste 203
New York Mills, MN 56567-4405

Phone

(218) 731-8896

Fax

(855) 852-5355

NPI assigned

Jan 23, 2019

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

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

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Peaceful Mind Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York Mills, MN
  • NPI 1952963076
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1861956948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565670341",
            "telephone_number": "218-731-8896",
            "fax_number": "855-852-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN AVE N STE 203",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565674405",
            "telephone_number": "218-731-8896",
            "fax_number": "855-852-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13045 Falcon Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "MN",
            "postal_code": "564254201",
            "country_code": "US",
            "telephone_number": "218-829-9307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 W Lincoln Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565372152",
            "country_code": "US",
            "telephone_number": "218-731-8896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSKINIEMI",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammie Hamlin, RN
• Gregory B Hammers, DDS
• Independent School District 553
• Timothy Dayle Johnson, DC
• Kalli Nicole Kaiser, RPH
• Ksteinbach, Inc
• Lake Country Home Care LLC
• Adele Lausten, RN
• Marylee S. Legried, M.D.
• Paula Rae Martenson, RN, BSN, PHN

• Clinical Social Worker in New York Mills, MN
• Providers in New York Mills, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.