North Country Counseling P.C.
Organization Active NPI Community/Behavioral Health Agency · Glenwood, MN
NPI 1982115390 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1982115390
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 3047 (MN)
- Legal business name
- NORTH COUNTRY COUNSELING P.C.
- Practice address
- 105 2ND Ave NE Ste 110
Glenwood, MN 56334-1226 - Phone
- (320) 428-0744
- Fax
- (320) 438-2829
- NPI assigned
- Oct 12, 2017
- Organization subpart
- No
Authorized official
- Name
- Charline Bengtson, LMFT
- Title
- Owner
- Phone
- (320) 428-0744
Practitioners 13
-
Megan Johnson, LPCC
-
Tayler Waldvogel, M.S. LADC, LPCC
-
Cassandra Brix, MS, LMFT
-
Morgan Flaherty, MSED, LPCC
-
Melissa Yunker, LICSW
-
Brittany Lee Hamann, PSYD, MA, LPCC
-
Alexis Zotti, LICSW
-
Jessica Lynn Spaulding, MSN, PMHNP-BC
-
Jeanette Ann Jochum-Lindstrom, MS, LPCC, NCC
-
Angie Marie Williamson, MS, LPCC, RDN, LDN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240604002833 | MN | Part B Supplier - Clinic/Group Practice | 7517409691 |
Receives reassigned benefits from 6 practitioners Practice locations: Duluth, MN; Glenwood, MN; Morris, MN |
National Provider Directory
Locations
700 Cedar St
Ste 272
Alexandria, MN 56308
Phone (320) 428-0744
11 E Superior St
Duluth, MN 55802
Phone (218) 393-5407
11 E Superior St
Ste 556
Duluth, MN 55802
Phone (320) 428-0744
105 2nd Ave NE
Ste 110
Glenwood, MN 56334
Phone (320) 223-2382
10 E 6th St
Ste 102
Morris, MN 56267
Phone (320) 428-0744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3047 | MN | Yes |
Addresses
Primary practice location
105 2ND Ave NE Ste 110
Glenwood, MN 56334-1226
Mailing address
105 2ND Ave NE Ste 110
Glenwood, MN 56334-1226
Phone (320) 428-0744
Other practice location 1
10 E 6th St Ste 102
Morris, MN 56267-1362
Phone (320) 428-0744
Other practice location 2
700 Cedar St Ste 272
Alexandria, MN 56308-2671
Phone (320) 428-0744
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487032926 | Other | PERSONAL NPI |
Other names
- North Country Counseling
Other providers in Glenwood, MN
- Kara Diane Mrnak
- Arriann Muller-Hanson
- Jenna Nicole Myrom
- Jeremy Myrom
- Margie Ruth Nelson
- Melissa Lee Olstad
- Andrew Ostrander
- Cynthia Rae Ostrander
- Parkview Court
- Meagan Lee Paumen
All providers in Glenwood, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.