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NPI 1881690899ActiveOrganization· Counselor, Mental Health· Stillwater, MN
Counselor, Mental Health in Stillwater, Minnesota, registered in NPPES in June 2005. The authorized official on file is Myra Hansen, Credentialing Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881690899 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2005 |
| Last updated in NPPES | Jul 31, 2025 |
| Certified by provider | Jul 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 800792-1-MHC | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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