Organization Active NPI

Eunoia Family Resource Center PA

  • Counseling Psychologist
  • Fairmont, MN
National Provider Identifier
1891961710
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
EUNOIA FAMILY RESOURCE CENTER PA
Practice address
1420 N State St
Fairmont, MN 56031-3619
Phone
(507) 235-6070
NPI assigned
Apr 30, 2008
Last updated
Sep 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Dr. Ramie Marlin Vetter, PSY.D.LPNPI 1992803175
Title
Owner
Phone
(507) 235-6070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU Primary

Addresses

Primary practice location

1420 N State St
Fairmont, MN 56031-3619

Mailing address

1420 N State St
Fairmont, MN 56031-3619
Phone (507) 235-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080909000283 MN Part B Supplier - Clinic/Group Practice 7214003680 Receives reassigned benefits from 10 practitioners
Practice locations: Fairmont, MN; Mankato, MN; New Ulm, MN

National Provider Directory

National Provider Directory

Locations

1307 Albion Ave
Ste 101
Fairmont, MN 56031
Phone (507) 235-6070

1420 N State St
Fairmont, MN 56031
Phone (507) 235-6070

112 5th St
Gaylord, MN 55334
Phone (507) 235-6070

428 Sibley Ave
Gaylord, MN 55334
Phone (855) 935-6463

1400 Madison Ave
Ste 628
Mankato, MN 56001
Phone (507) 779-7366

1226 S Broadway St
New Ulm, MN 56073
Phone (507) 359-1818

116 7th St S
Saint James, MN 56081
Phone (507) 375-1350

120 7th St S
Saint James, MN 56081
Phone (855) 935-6463

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1891961710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313619",
            "telephone_number": "507-235-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313619",
            "telephone_number": "507-235-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNOIA FAMILY RESOURCE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "RAMIE",
        "authorized_official_middle_name": "MARLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-235-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D.LP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.