Provider Demographics
NPI:1720979909
Name:STRAIGHT RIVER COUNSELING
Entity type:Organization
Organization Name:STRAIGHT RIVER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:BORKENHAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MS, LPCC
Authorized Official - Phone:507-200-8300
Mailing Address - Street 1:636 12TH ST SE
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-4109
Mailing Address - Country:US
Mailing Address - Phone:507-200-8330
Mailing Address - Fax:
Practice Address - Street 1:245 18TH ST SE STE 102
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-4062
Practice Address - Country:US
Practice Address - Phone:507-200-8330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty