CMS-1500 Box 24J / 33a • NPI
1750959698
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
678 90TH AVE, LUVERNE, MN, 56156-4184
✓ 9-Digit EDI 837 ZIP+4 (56156-4184)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1750959698 (ATLAST MENTAL HEALTH COUNSELING) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1750959698 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ATLAST MENTAL HEALTH COUNSELING |
| 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 | 678 90TH AVE, LUVERNE, MN, 56156-4184 |
| Practice Telephone / Fax | Tel: (605) 360-5690 |
| Administrative Mailing Address | 678 90TH AVE, LUVERNE, MN, 56156-4184 |
| Enumeration & Last Sync | Enumerated: 2021-06-16 | CMS Record Updated: 2026-06-01 |
| Authorized Official | LORI WINTER (Licensed Psychologist/Owner) |
Clinic Location, Accessibility & Directions
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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"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ATLAST MENTAL HEALTH COUNSELING)
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
- 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 |
|---|---|
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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