Organization Active NPI

Debra Carter-Barth

  • Adult Mental Health Clinic/Center
  • Faribault, MN
National Provider Identifier
1972829943
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
17263 Issued in MN
Legal business name
DEBRA CARTER-BARTH
Practice address
303 1St Ave NE
Ste 240
Faribault, MN 55021-5268
Phone
(507) 412-1468
Fax
(507) 331-8677
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Debra Lynn Carter-Barth, LICSWNPI 1790923035
Title
Psychotherapist / Owner
Phone
(507) 412-1468

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 17263 MN Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 17263 MN

Addresses

Primary practice location

303 1St Ave NE
Ste 240
Faribault, MN 55021-5268

Mailing address

303 1St Ave. N.E.
Ste 240
Faribault, MN 55021-5379
Phone (507) 412-1468

Other identifiers 1

IdentifierTypeStateIssuer
1790923035MedicaidMN

Other names 1

  • Healthy Minds Counseling Services, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

303 1st Ave NE
Ste 240
Faribault, MN 55021
Phone (507) 412-1468

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1972829943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 1ST AVE. N.E.",
            "address_2": "STE 240",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215379",
            "telephone_number": "507-412-1468",
            "fax_number": "507-331-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 1ST AVE NE",
            "address_2": "STE 240",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215268",
            "telephone_number": "507-412-1468",
            "fax_number": "507-331-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA CARTER-BARTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "CARTER-BARTH",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST / OWNER",
        "authorized_official_telephone_number": "507-412-1468",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "17263",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "17263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790923035",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Minds Counseling Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.