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Active NPI 1124315064 Individual Practitioner Female Practitioner

Angie Marie Williamson , MS, LPCC, RDN, LDN

Counselor - Professional • Osakis, MN

Professional Overview & Biography Verified Profile Summary

Angie Williamson, MS, LPCC, RDN, LDN is a registered healthcare professional specializing in Counselor - Professional in Osakis, MN. Practice services are available at 610 W 1ST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

610 W 1st Ave

Osakis, MN 563608227

Telephone 9524840841
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Osakis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Osakis, MN (2422 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC02695

Definition to come...

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License MN 886167

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location October 08, 2024

Registered at 610 W 1ST AVE, OSAKIS, MN 563608227 (Tel: 9524840841)

📍
Updated Business Mailing Address October 08, 2024

Registered at PO BOX 120, OSAKIS, MN 563600120 (Tel: 3207666333)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2024

Dietitian, Registered (License #886167 in MN)

📍
Updated Practice Location May 04, 2021

Registered at 105 2ND AVE NE STE 110, GLENWOOD, MN 563341226 (Tel: 3204280744)

📍
Updated Business Mailing Address May 04, 2021

Registered at 105 2ND AVE NE STE 110, GLENWOOD, MN 563341226 (Tel: 3204280744)

👤
Provider Name / Credentials Updated February 24, 2021

Recorded as ANGIE WILLIAMSON, MS, LPCC, RDN, LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2021

Counselor (License #CC02695 in MN)

📍
Updated Practice Location September 24, 2018

Registered at 512 30TH AVE E STE 100, ALEXANDRIA, MN 563085096 (Tel: 3207625411)

📍
Updated Business Mailing Address September 24, 2018

Registered at 610 W 1ST AVE, OSAKIS, MN 563608227 (Tel: 9524840841)

👤
Provider Name / Credentials Updated September 24, 2018

Recorded as ANGIE WILLIAMSON, RD

NPI Profile Active June 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2011

Registered at 33848 STATE HIGHWAY 24, WATKINS, MN 553897729 (Tel: 9524840841)

📍
Updated Business Mailing Address June 29, 2011

Registered at 33848 STATE HIGHWAY 24, WATKINS, MN 553897729 (Tel: 9524840841)

👤
Provider Name / Credentials Updated June 29, 2011

Recorded as ANGIE WILLIAMISON, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2011

Dietitian, Registered (License #886167 in MN)

🟢
Initial NPI Registration & Enumeration June 29, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124315064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2011
Last Update: October 08, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 120

Osakis, MN 563600120

Phone: 3207666333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.