Active NPI
Greater Midwest Counseling Service
- Adult Mental Health Clinic/Center
- Mankato, MN
National Provider Identifier
1902675747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.