Organization Active NPI

Counseling Services of Southern Minnesota, Inc

  • Clinical Social Worker
  • Saint Peter, MN
National Provider Identifier
1962557496
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11076 Issued in MN
Legal business name
COUNSELING SERVICES OF SOUTHERN MINNESOTA, INC
Practice address
1306 Marshall St
Saint Peter, MN 56082-4500
Phone
(507) 931-8040
Fax
(507) 931-8060
NPI assigned
Jan 24, 2007
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Natalee L Anderson
Title
Human Resources/Credentialing
Phone
(507) 931-8040

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X
Psychologist 103T00000X LP3791 MN
Psychologist 103T00000X LP4430 MN
Clinical Social Worker 1041C0700X 10695 MN
Clinical Social Worker 1041C0700X 11076 MN Primary
Marriage & Family Therapist 106H00000X 1290 MN
Marriage & Family Therapist 106H00000X 1424 MN
Marriage & Family Therapist 106H00000X 1150 MN

Addresses

Primary practice location

1306 Marshall St
Saint Peter, MN 56082-4500

Mailing address

1306 Marshall St
Saint Peter, MN 56082-4500
Phone (507) 931-8040

Other practice location 1

226 N Broad St
Mankato, MN 56001-3520
Phone (507) 931-8040

Other practice location 2

501 Madison Ave
Mankato, MN 56001-6109
Phone (507) 931-8040

Other identifiers 5

IdentifierTypeStateIssuer
065888000MedicaidMN
81D54COOtherMNBCBS DR LEVEL LP GROUP #
8G343COOtherMNBCBS LICSW GROUP #
396R7COOtherMNBCBS LMFT GROUP #
934625200MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040114000466 MN Part B Supplier - Clinic/Group Practice 5890696868 Receives reassigned benefits from 24 practitioners
Practice locations: Mankato, MN; Saint Peter, MN

National Provider Directory

National Provider Directory

Locations

226 N Broad St
Mankato, MN 56001
Phone (507) 931-8040

116 S 3rd St
Saint Peter, MN 56082
Phone (507) 931-8040

1306 Marshall St
Saint Peter, MN 56082
Phone (507) 931-8040

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1962557496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 MARSHALL ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560824500",
            "telephone_number": "507-931-8040",
            "fax_number": "507-931-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 MARSHALL ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560824500",
            "telephone_number": "507-931-8040",
            "fax_number": "507-931-8060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560013520",
            "country_code": "US",
            "telephone_number": "507-931-8040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560016109",
            "country_code": "US",
            "telephone_number": "507-931-8040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF SOUTHERN MINNESOTA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "NATALEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HUMAN RESOURCES/CREDENTIALING",
        "authorized_official_telephone_number": "507-931-8040"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3791",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4430",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10695",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11076",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1290",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1424",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065888000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DR LEVEL LP GROUP #",
            "identifier": "81D54CO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LICSW GROUP #",
            "identifier": "8G343CO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LMFT GROUP #",
            "identifier": "396R7CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "934625200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.