Healthcare Provider Details

I. General information

NPI: 1962557496
Provider Name (Legal Business Name): COUNSELING SERVICES OF SOUTHERN MINNESOTA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 MARSHALL ST
SAINT PETER MN
56082-4500
US

IV. Provider business mailing address

1306 MARSHALL ST
SAINT PETER MN
56082-4500
US

V. Phone/Fax

Practice location:
  • Phone: 507-931-8040
  • Fax: 507-931-8060
Mailing address:
  • Phone: 507-931-8040
  • Fax: 507-931-8060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP3791
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP4430
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10695
License Number StateMN
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11076
License Number StateMN
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1290
License Number StateMN
# 7
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1424
License Number StateMN
# 8
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1150
License Number StateMN

VIII. Authorized Official

Name: NATALEE L ANDERSON
Title or Position: HUMAN RESOURCES/CREDENTIALING
Credential:
Phone: 507-931-8040