Waconia Counseling Services PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

00010 Issued in MN

Legal business name

WACONIA COUNSELING SERVICES PLLC

Practice address

1992 Starlight Dr
Waconia, MN 55387-8607

Phone

(612) 636-0136

Fax

(952) 442-8607

NPI assigned

Mar 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Gordon Rodning, MA LPCC LPNPI 1386879799

Title

Owner

Phone

(612) 636-0136

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Gordon Rodning, MA LPCC

  • Counselor
  • Waconia, MN
  • NPI 1386879799
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331337600000",
    "number": "1013282946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 STARLIGHT DR",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553878607",
            "telephone_number": "612-636-0136",
            "fax_number": "952-442-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 STARLIGHT DR",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553878607",
            "telephone_number": "612-636-0136",
            "fax_number": "952-442-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACONIA COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-10",
        "last_updated": "2012-03-10",
        "status": "A",
        "authorized_official_last_name": "RODNING",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-636-0136",
        "authorized_official_credential": "MA LPCC LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "00010",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "5459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E Van Kirk, M.D.
• Alexa Vansickle, MA, LPCC
• Sommer Nicole Vaughan, PA-C
• Alison Ann Vecellio, MD
• Callie Vold
• Waconia Family Chiropractic
• Waconia Ops. LLC
• Waconia Pharmacy
• Waconia School District
• Walgreen Co

• Community/Behavioral Health Agency in Waconia, MN
• Providers in Waconia, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.