Lynette Carol Imdieke-Struzyk, MS, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC00183 Issued in MN

Practice address

6069 Hidden LN
South Haven, MN 55382-4505

Phone

(320) 255-9188

NPI assigned

Nov 22, 2010

Last updated

Nov 22, 2010By 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 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Hilltop Health Care Center LLC

  • Skilled Nursing Facility
  • Watkins, MN
  • NPI 1790058071
  NPD (past)

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1942502133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 HIDDEN LN",
            "city": "SOUTH HAVEN",
            "state": "MN",
            "postal_code": "553824505",
            "telephone_number": "320-255-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6069 HIDDEN LN",
            "city": "SOUTH HAVEN",
            "state": "MN",
            "postal_code": "553824505",
            "telephone_number": "320-255-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMDIEKE-STRUZYK",
        "first_name": "LYNETTE",
        "middle_name": "CAROL",
        "credential": "MS, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "CC00183",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00183",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00183",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "CC00183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda J Arnold, MS,NCC,LPCC
• Ashley Blasczyk
• Sarah Louise Demarais, PTA
• Finesse Carpentry LLC
• Janell Dawn Missler
• Laura Scheer, OTR/L
• Serenity Choice Homecare
• Mackenzie J Weis

• Mental Health Counselor in South Haven, MN
• Providers in South Haven, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.