NPIMap

Organization Active NPI

Parasol Wellness Collaborative

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Otsego, MN
National Provider Identifier
1013376961
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2506 Issued in MN
Legal business name
PARASOL WELLNESS COLLABORATIVE
Practice address
9201 Quaday Ave NE Ste 205
Otsego, MN 55330-6604
Phone
(763) 703-6962
Fax
(651) 222-9727
NPI assigned
Feb 21, 2016
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Leah Corder, LMFTNPI 1437558814
Title
Founder
Phone
(763) 355-4749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2506 MN Primary

Addresses

Primary practice location

9201 Quaday Ave NE Ste 205
Otsego, MN 55330-6604

Mailing address

9201 Quaday Ave NE Ste 205
Elk River, MN 55330-6604
Phone (763) 703-6962

Other practice location 1

9700 63rd Ave N Ste 200
Maple Grove, MN 55369-6202
Phone (763) 703-6962

Other practice location 2

1613 99th Ln NE
Blaine, MN 55449-4430
Phone (763) 703-6962

National Provider Directory

National Provider Directory

Locations

1613 99th Ln NE
Blaine, MN 55449
Phone (612) 429-5027

9700 63rd Ave N
Ste 200
Maple Grove, MN 55369
Phone (763) 703-6962

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1013376961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 QUADAY AVE NE STE 205",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553306604",
            "telephone_number": "763-703-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 QUADAY AVE NE STE 205",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306604",
            "telephone_number": "763-703-6962",
            "fax_number": "651-222-9727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 63rd Ave N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553696202",
            "country_code": "US",
            "telephone_number": "763-703-6962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 99th Ln NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554494430",
            "country_code": "US",
            "telephone_number": "763-703-6962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARASOL WELLNESS COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-21",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "CORDER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "763-355-4749",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.