Organization Active NPI

Greater Midwest Counseling Service

  • Adult Mental Health Clinic/Center
  • Mankato, MN
National Provider Identifier
1902675747
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GREATER MIDWEST COUNSELING SERVICE
Practice address
12 Civic Center PLZ Ste 3000B
Mankato, MN 56001-7713
Phone
(507) 213-0002
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Gatluak Tutdeal, MA
Title
Treatment Director
Phone
(507) 213-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

12 Civic Center PLZ Ste 3000B
Mankato, MN 56001-7713

Mailing address

12 Civic Center PLZ Ste 3000B
Mankato, MN 56001-7713
Phone (507) 213-0002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1902675747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CIVIC CENTER PLZ STE 3000B",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017713",
            "telephone_number": "507-213-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CIVIC CENTER PLZ STE 3000B",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017713",
            "telephone_number": "507-213-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MIDWEST COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "TUTDEAL",
        "authorized_official_first_name": "GATLUAK",
        "authorized_official_title_or_position": "TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "507-213-0002",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.