Healthcare Provider Details

I. General information

NPI: 1366306185
Provider Name (Legal Business Name): SHANNON KARSTEN LLC. DBA FREE SPIRIT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W HOLLY ST
OWATONNA MN
55060-3959
US

IV. Provider business mailing address

133 SOUTHVIEW ST
OWATONNA MN
55060-3223
US

V. Phone/Fax

Practice location:
  • Phone: 507-475-9548
  • Fax:
Mailing address:
  • Phone: 507-475-9548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SHANNON SPIRIT HOUSE KARSTEN
Title or Position: LICSW THERAPIST
Credential: LICSW
Phone: 507-475-9548