Port of Crow Wing County, Inc
NPI 1205904612 · Cognitive & Behavioral Psychologist · Little Falls, MN
Port of Crow Wing County, Inc is a Cognitive & Behavioral Psychologist organization in Little Falls, MN (NPI 1205904612).
Provider details
- NPI number
- 1205904612
- Entity type
- Organization
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amy Haider, Credentialing Manager(320) 639-1425
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dba Lakes Area Counseling
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2022-05-20
- Certified
- 2022-05-20
Frequently asked questions
- What is Port of Crow Wing County, Inc's NPI number?
- Port of Crow Wing County, Inc's National Provider Identifier (NPI) is 1205904612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port of Crow Wing County, Inc?
- Port of Crow Wing County, Inc is classified in the NPPES registry as Cognitive & Behavioral Psychologist (Behavioral Health & Social Service Providers).
- Where is Port of Crow Wing County, Inc located?
- Port of Crow Wing County, Inc's practice location on file with NPPES is 1906 5th Ave Se, Little Falls, MN 56345-3317.
- What is Port of Crow Wing County, Inc's phone number?
- The practice phone number listed in the NPPES registry for Port of Crow Wing County, Inc is (320) 632-6647.
- Who is the authorized official for Port of Crow Wing County, Inc?
- The authorized official listed on Port of Crow Wing County, Inc's NPPES record is Amy Haider, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port of Crow Wing County, Inc's NPI active?
- Yes — Port of Crow Wing County, Inc's NPI (1205904612) is active in the NPPES registry as of the last update on 2022-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.