Active NPI
Debra Carter-Barth
- Adult Mental Health Clinic/Center
- Faribault, MN
National Provider Identifier
1972829943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 17263
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Lynn Carter-Barth, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790923035 | Medicaid | MN |
Other names 1
- Healthy Minds Counseling Services, LLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Faribault, MN
- NPI 1790923035
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.