MEDICARE: FERGUS FALLS COMMUNITY 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1851224877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FERGUS FALLS COMMUNITY COUNSELING

Provider Business Mailing Address
First Line	:	23866 CANTERBURY LN
Second Line	:
City	:	FERGUS FALLS
State	:	MN
Zip	:	56537-8113
Country	:	US
Telephone Number	:	218-205-1079
Fax Number	:	218-302-9713

Provider Business Practice Location Address
First Line	:	116 E LINCOLN AVE
Second Line	:
City	:	FERGUS FALLS
State	:	MN
Zip	:	56537-2217
Country	:	US
Telephone Number	:	218-205-1079
Fax Number	:	218-302-9713

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAMERA SCHWANTES CHURCHILL
Credential	:	LMFT
Telephone Number	:	218-205-1079

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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