{"npi":"1679554497","type":"NPI-2","status":"active","name":{"display":"Cedar River Counseling & Educational Services, Inc.","other":[],"organization_name":"CEDAR RIVER COUNSELING & EDUCATIONAL SERVICES, INC.","authorised_official":"Stanley Miller"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"MN","license":"LP3235"}]},"addresses":[{"purpose":"LOCATION","street_1":"1403 15TH AVE NW","city":"AUSTIN","state":"MN","postal_code":"559121911","country_code":"US","phone":"5074336482","fax":"5074330097"},{"purpose":"MAILING","street_1":"1403 15TH AVE NW","city":"AUSTIN","state":"MN","postal_code":"559121911","country_code":"US","phone":"5074336482","fax":"5074330097"}],"license":{"state":"MN","number":"LP3235"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1265413777","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090617000085","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MN","pac_id":"6406906270"}]},"enumeration_date":"2005-11-09","last_updated":"2009-06-16","_meta":{"source":"NPPES","snapshot_date":"2009-06-16","doc_url":"https://findmynpi.com/api"}}