NORTHERN LIGHTS PSYCHOLOGICAL SERVICES P.A.
NPI 1619229754
Community/Behavioral Health in Fergus Falls, MN

Q: What is Northern Lights Psychological Services P.A.'s specialty?

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

Active since October 14, 2012

1010 FRONTIER DR, SUITE 104, FERGUS FALLS, MN 56537(507) 828-1433 Get Directions Write a Review

NPPES record last updated: October 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northern Lights Psychological Services P.a. NPPES

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

NORTHERN LIGHTS PSYCHOLOGICAL SERVICES P.A. (NPI 1619229754) is a healthcare organization registered as a community/behavioral health in Fergus Falls, Minnesota and active in the NPI registry since October 2012. The organization lists Angela A Kennedy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619229754

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameNORTHERN LIGHTS PSYCHOLOGICAL SERVICES P.A.

Location Address1010 FRONTIER DR, SUITE 104Fergus Falls, MN 56537-1023

Mailing AddressPo Box 3Underwood, MN 56586-0003 · (507) 828-1433

Phone(507) 828-1433

Organization SubpartNo

Authorized OfficialAngela A KennedyCeo · (507) 828-1433

Enumeration DateOctober 14, 2012

✔ NPI 1619229754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MN · LP4330

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.

1010 FRONTIER DR, Fergus Falls, MN 56537

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Other Identifiers 4

Medicare UPIN680001862MN

Medicaid589175200MN

Other978T6PSBcbs Of Mn

Other6178609MN · Medica

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 Northern Lights Psychological Services P.A.'s NPI number?

The NPI number for Northern Lights Psychological Services P.A. is 1619229754. It was assigned to this organization in the NPPES registry on October 14, 2012.

Where is Northern Lights Psychological Services P.A. located?

Northern Lights Psychological Services P.A. is located at 1010 Frontier Dr Suite 104, Fergus Falls, MN 56537. The listed phone number is (507) 828-1433.

What is Northern Lights Psychological Services P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Northern Lights Psychological Services P.A. was last updated on October 14, 2012. 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.