NPIMap

Organization Active NPI

North Country Counseling P.C.

Doing business as North Country Counseling

  • Community/Behavioral Health Agency
  • Glenwood, MN
National Provider Identifier
1982115390
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3047 Issued in MN
Legal business name
NORTH COUNTRY COUNSELING P.C.
Doing business as
North Country Counseling
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
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Charline Bengtson, LMFTNPI 1487032926
Title
Owner
Phone
(320) 428-0744

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3047 MN Primary

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 names 1

  • North Country Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

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

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1982115390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 2ND AVE NE STE 110",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341226",
            "telephone_number": "320-428-0744",
            "fax_number": "320-438-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 2ND AVE NE STE 110",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341226",
            "telephone_number": "320-428-0744",
            "fax_number": "320-438-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 E 6th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "MN",
            "postal_code": "562671362",
            "country_code": "US",
            "telephone_number": "320-428-0744",
            "fax_number": "320-438-2829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Cedar St Ste 272",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563082671",
            "country_code": "US",
            "telephone_number": "320-428-0744",
            "fax_number": "320-438-2829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH COUNTRY COUNSELING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BENGTSON",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-428-0744",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "3047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Country Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenwood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.