Organization Active NPI

Veritas Counseling PLLC

  • Professional Counselor
  • Shoreview, MN
National Provider Identifier
1043087695
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VERITAS COUNSELING PLLC
Practice address
470 Highway 96 W Ste 260
Shoreview, MN 55126-3216
Phone
(651) 237-3767
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

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

Authorized official

Name
Robert Mantia, MA, LPCCNPI 1063955508
Title
Counselor
Phone
(651) 237-3767

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

470 Highway 96 W Ste 260
Shoreview, MN 55126-3216

Mailing address

395 Old Highway 8 SW Apt 204
New Brighton, MN 55112-7725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416004046 MN Part B Supplier - Clinic/Group Practice 9335588805 Receives reassigned benefits from 1 practitioner
Practice locations: Shoreview, MN

National Provider Directory

National Provider Directory

Locations

470 Highway 96 W
Ste 260
Shoreview, MN 55126
Phone (651) 237-3767

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": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715472000000",
    "number": "1043087695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 OLD HIGHWAY 8 SW APT 204",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 HIGHWAY 96 W STE 260",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551263216",
            "telephone_number": "651-237-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERITAS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A",
        "authorized_official_last_name": "MANTIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "651-237-3767",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.