Provider Demographics
NPI:1568784668
Name:KNUTSON COUNSELING & SEMINARS, INC.
Entity Type:Organization
Organization Name:KNUTSON COUNSELING & SEMINARS, INC.
Other - Org Name:KNUTSON COUNSELING & SEMINARS, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-231-2738
Mailing Address - Street 1:328 5TH ST SW
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-3200
Mailing Address - Country:US
Mailing Address - Phone:320-231-2738
Mailing Address - Fax:
Practice Address - Street 1:1809 19TH AVE SW
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-4946
Practice Address - Country:US
Practice Address - Phone:320-441-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11513101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
800001976OtherMEDICARE PTAN
MN70L94KNOtherBCBSMN
MN011064700OtherDHS
MN20519475456201A006OtherTRICARE WEST
360S0KNOtherBCBS
MNHP85447OtherHEALTH PARTNERS