ADDICTIONS AND STRESS CLINICS LTD — NPI 1376820118 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1376820118

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103T00000X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist

Box 32 Service Location & ZIP+4

11 CIVIC CENTER PLZ STE 205, MANKATO, MN, 56001-7718

✓ 9-Digit EDI 837 ZIP+4 (56001-7718)

Practice Phone & Referral Fax

(507) 345-4679

Fax: (507) 345-8685

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1376820118 (ADDICTIONS AND STRESS CLINICS LTD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1376820118` (NPI-2 Organization / Facility)
Provider / Legal Name	ADDICTIONS AND STRESS CLINICS LTD
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist NUCC Code: `103T00000X` (Psychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	11 CIVIC CENTER PLZ STE 205, MANKATO, MN, 56001-7718
Practice Telephone / Fax	Tel: (507) 345-4679 \| Fax: (507) 345-8685
Administrative Mailing Address	11 CIVIC CENTER PLZ STE 205, MANKATO, MN, 56001-7718
Enumeration & Last Sync	Enumerated: 2011-11-08 \| CMS Record Updated: 2025-08-07
Authorized Official	AMY NELSON (Administrative Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11 CIVIC CENTER PLZ STE 205, MANKATO, MN, 56001-7718

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Plain-English Taxonomy & CMS Crosswalk (103T00000X)

What Does Taxonomy Code 103T00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADDICTIONS AND STRESS CLINICS LTD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101Y00000X` — Counselor Plain English: Licensed & Credentialed Counselor	State: MN \| License: `cc00325` \| Primary: Secondary
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: MN \| License: `LP4863` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: MN \| License: `LP4863` \| Primary: Secondary
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: MN \| License: `LP1673` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADDICTIONS AND STRESS CLINICS LTD (NPI #1376820118)