NATASHA MARIE GUNDERSON LADC, LPCC
NPI 1306474036
Counselor - Mental Health in Woodbury, MN

Active since March 30, 2020PECOS Enrolled
6043 HUDSON RD STE 200, WOODBURY, MN 55125(651) 348-5594(651) 925-8201 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Natasha Marie Gunderson Ladc, Lpcc NPPES

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

NATASHA MARIE GUNDERSON LADC, LPCC (NPI 1306474036) is an individual mental health provider in Woodbury, Minnesota, licensed in Minnesota (2377) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cottage Grove.

NPPES Registry Identity

NPI1306474036
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNATASHA MARIE GUNDERSONCredential: LADC, LPCC
Location Address6043 HUDSON RD STE 200Woodbury, MN 55125-1019
Mailing Address6043 Hudson Rd Ste 200Woodbury, MN 55125-1019 · (651) 348-5594 · Fax (651) 925-8201
Fax(651) 925-8201
Sole ProprietorYes
Enumeration DateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
NPI 1306474036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 2377
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304953 (MN)
6043 HUDSON RD STE 200, Woodbury, MN 55125

Other Names 1

Former Name (1)Natasha Marie Prange

Secondary Practice Location 1

Location 17501 80th St S, Ste 108Cottage Grove, MN 55016 · Phone (651) 327-0652

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Natasha Marie Gunderson Ladc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Natasha Gunderson's NPI number?

The NPI number for Natasha Gunderson is 1306474036. It was assigned to this individual provider in the NPPES registry on March 30, 2020. The provider is also known as Natasha Marie Prange.

Where is Natasha Gunderson located?

Natasha Gunderson practices at 6043 Hudson Rd Ste 200, Woodbury, MN 55125. The listed phone number is (651) 348-5594.

What is Natasha Gunderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Natasha Gunderson enrolled in Medicare?

Yes. Natasha Gunderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Natasha Gunderson was last updated on March 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.