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Michael J Koehler , MA, LPCC

Counselor - Professional β€’ Baxter, MN

Active NPI 1871988048 Individual Practitioner Male Practitioner
Practice location in NPPES

13045 Falcon Dr Ste 100
Baxter, MN 564254201

Call 2188299307 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

13045 Falcon Dr Ste 100

Baxter, MN 564254201

Telephone 2188299307
Fax 2188297649
Organization at the Same NPPES Address or Phone
Nystrom & Associates Counseling Wi., S.c. Facility NPI 1104549047

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Baxter and Minnesota

8 active clinicians are listed under Counselor - Professional with a practice address in Baxter, MN (2,407 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MN 1664
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MO 2014018659
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Seraphine Aker , MS

Counselor - Mental Health

NPI 1356794465

Master of Science

Latricia Alt-Peters , APRN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1467611657

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Marei Benton , APRN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1518518877

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Julie Christensen , LICSW

Social Worker - Clinical

NPI 1407258387

Licensed Independent Clinical Social Worker

Kimberly Dwinnell-Dillon , LICSW

Social Worker - Clinical

NPI 1497112254

Licensed Independent Clinical Social Worker

Jenifer Grissom , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1275818692

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 23, 2018

Registered at 13045 FALCON DR STE 100, BAXTER, MN 564254201 (Tel: 2188299307)

πŸ“
Updated Business Mailing Address October 23, 2018

Registered at 1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 551121789 (Tel: 6516289566)

πŸ‘€
Provider Name / Credentials Updated October 23, 2018

Recorded as MICHAEL KOEHLER, MA, LPCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2018

Counselor (license number reported to NPPES: MN 1664)

βœ…
NPI Profile Active October 22, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 22, 2015

Registered at 272 MEDICAL LOOP, SUITE C, ROSEBURG, OR 97471 (Tel: 5414403532)

πŸ“
Business Mailing Address (Initial Record) October 22, 2015

Registered at 272 MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471 (Tel: 5414403532)

πŸ‘€
Provider Name / Credentials (Initial Record) October 22, 2015

Recorded as MICHAEL KOEHLER, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2015

Counselor

🟒
Initial NPI Registration & Enumeration April 03, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871988048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2015
Last Update: October 23, 2018
Sole Proprietor: No

Mailing Address

1900 Silver Lake Rd Nw Ste 110

New Brighton, MN 551121789

Phone: 6516289566

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.