MEDICARE: SHANNON KARSTEN LLC. DBA FREE SPIRIT COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

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

Provider Business Mailing Address
First Line	:	133 SOUTHVIEW ST
Second Line	:
City	:	OWATONNA
State	:	MN
Zip	:	55060-3223
Country	:	US
Telephone Number	:	507-475-9548
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 W HOLLY ST
Second Line	:
City	:	OWATONNA
State	:	MN
Zip	:	55060-3959
Country	:	US
Telephone Number	:	507-475-9548
Fax Number	:

Authorized Official
Title or Position	:	LICSW THERAPIST
Name	:	SHANNON SPIRIT HOUSE KARSTEN
Credential	:	LICSW
Telephone Number	:	507-475-9548

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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