| North Country Counseling | |
|
105 2nd Ave Ne Ste 110 Glenwood MN 56334-1226 | |
| (320) 428-0744 | |
| (320) 438-2829 |
| Full Name | North Country Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 105 2nd Ave Ne Ste 110, Glenwood, Minnesota |
| Authorized Official Name and Position | Charline Bengtson (OWNER) |
| Authorized Official Contact | 3204280744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Counseling 105 2nd Ave Ne Ste 110 Glenwood MN 56334-1226 Ph: (320) 428-0744 | North Country Counseling 105 2nd Ave Ne Ste 110 Glenwood MN 56334-1226 Ph: (320) 428-0744 |
| NPI Number | 1982115390 |
|---|---|
| Provider Enumeration Date | 10/12/2017 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 7517409691 |
|---|---|
| Medicare Enrollment ID | O20240604002833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982115390 | NPI | - | NPPES |
| 1487032926 | Other | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3047 (Minnesota) | Primary |
| Provider Name | Cherise M Haugen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689077935 PECOS PAC ID: 7517189145 Enrollment ID: I20141113002075 |
| Provider Name | Megan Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831679422 PECOS PAC ID: 2961944061 Enrollment ID: I20240604003716 |
| Provider Name | Charline Bengtson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487032926 PECOS PAC ID: 3971045055 Enrollment ID: I20240606002218 |
| Provider Name | Cassandra Brix |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609228931 PECOS PAC ID: 7810439791 Enrollment ID: I20240606002417 |
| Provider Name | Tayler Kay Waldvogel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326605015 PECOS PAC ID: 8022550748 Enrollment ID: I20240610003518 |