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COMMUNITY OUTREACH COUNSELING PC
NPI 1245673482
Community/Behavioral Health in Willmar, MN

Active since April 08, 2013
1617 HIGHWAY 12 E, SUITE 230, WILLMAR, MN 56201(320) 905-0795(320) 205-0030 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Community Outreach Counseling Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY OUTREACH COUNSELING PC (NPI 1245673482) is a healthcare organization registered as a community/behavioral health in Willmar, Minnesota and active in the NPI registry since April 2013. The organization lists Timothy R Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1245673482
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY OUTREACH COUNSELING PC
Location Address1617 HIGHWAY 12 E, SUITE 230Willmar, MN 56201-5814
Mailing Address1617 Highway 12 E, Suite 230Willmar, MN 56201-5814 · (320) 905-0795 · Fax (320) 205-0030
Phone(320) 905-0795
Fax(320) 205-0030
Organization SubpartNo
Authorized OfficialTimothy R JohnsonOwner · (320) 905-0795
Enumeration DateApril 8, 2013
Last NPPES UpdateSeptember 3, 2013
✔ NPI 1245673482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · 1071
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1617 HIGHWAY 12 E, Willmar, MN 56201
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Other Identifiers 1

Medicaid168211300MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Outreach Counseling Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Community Outreach Counseling PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Timothy Johnson, MA LMFT
Marriage and Family Therapist
NPI 1699864660
217 INDUSTRIAL DR SW
Willmar, MN 56201
(320) 905-0795
✔ PECOS✔ Accepts Medicare2.3 mi
Alisa Johnson, LPCC
Mental Health Counselor
NPI 1598475212
217 INDUSTRIAL DR SW
Willmar, MN 56201
(320) 295-3450
✔ PECOS✔ Accepts Medicare2.3 mi
Jessica Waldemarsen, LICSW
Clinical Social Worker
NPI 1679197602
217 INDUSTRIAL DR SW
Willmar, MN 56201
(320) 212-8481
✔ PECOS✔ Accepts Medicare2.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Outreach Counseling PC's NPI number?

The NPI number for Community Outreach Counseling PC is 1245673482. It was assigned to this organization in the NPPES registry on April 8, 2013.

Where is Community Outreach Counseling PC located?

Community Outreach Counseling PC is located at 1617 Highway 12 E Suite 230, Willmar, MN 56201. The listed phone number is (320) 905-0795.

What is Community Outreach Counseling PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Community Outreach Counseling PC enrolled in Medicare?

Yes. Community Outreach Counseling PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Outreach Counseling PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Community Outreach Counseling PC, in Clinical Social Worker, Marriage and Family Therapist and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Outreach Counseling PC accept?

Health plans from HealthPartners list Community Outreach Counseling PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Outreach Counseling PC was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.