Organization Active NPI

Path Forward Counseling LLC

  • Clinical Social Worker
  • Blaine, MN
National Provider Identifier
1023823887
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PATH FORWARD COUNSELING LLC
Practice address
11806 Aberdeen St NE Ste 220
Blaine, MN 55449-4712
Phone
(763) 913-7076
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Michelle Nicole Ferrel, MSW, LICSWNPI 1386004968
Title
Owner/Clinical Social Worker
Phone
(612) 541-7106

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11806 Aberdeen St NE Ste 220
Blaine, MN 55449-4712

Mailing address

6349 Winnetka Ave N
Brooklyn Park, MN 55428-2163
Phone (763) 913-7076

National Provider Directory

National Provider Directory

Locations

11806 Aberdeen St NE
Ste 220
Minneapolis, MN 55449
Phone (612) 541-7106

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1023823887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 WINNETKA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554282163",
            "telephone_number": "763-913-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11806 ABERDEEN ST NE STE 220",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494712",
            "telephone_number": "763-913-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH FORWARD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "FERREL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "612-541-7106",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.