County of Goodhue

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

830919-1-MHC Issued in MN

Legal business name

COUNTY OF GOODHUE

Doing business as

GOODHUE COUNTY MENTAL HEALTH

Practice address

426 West Ave
Red Wing, MN 55066-2473

Phone

(651) 385-6180

Fax

(651) 385-6195

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Robert E Glasenapp, LSW, MPA

Title

Program Manager

Phone

(651) 385-6180

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• GOODHUE COUNTY MENTAL HEALTH Doing business as

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1992759468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 WEST AVE",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662473",
            "telephone_number": "651-385-6180",
            "fax_number": "651-385-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 WEST AVE",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662473",
            "telephone_number": "651-385-6180",
            "fax_number": "651-385-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GOODHUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "GLASENAPP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "651-385-6180",
        "authorized_official_credential": "LSW, MPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "830919-1-MHC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE",
            "identifier": "127604",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "61Q69GO",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "634028800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5062",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOODHUE COUNTY MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Marie Corbean
• Corner Medical LLC
• Mark Michael Cota
• Mikayla Anne Cota
• Cottrell,Lloyd Optometric,PA
• County of Goodhue Health & Human Services
• Brian P Coyle, MD
• Creekstone Montessori School
• Vivian G. Cuevas, D.D.S.
• Merle W Dargus, CRNA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.