NPIMap

Organization Active NPI

North Suburban Counseling Ctr

  • Case Management Agency
  • Coon Rapids, MN
National Provider Identifier
1043311368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
801741MHC Issued in MN
Legal business name
NORTH SUBURBAN COUNSELING CTR
Practice address
425 Coon Rapids Blvd
#200
Coon Rapids, MN 55433
Phone
(763) 784-3008
Fax
(763) 784-3647
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Gretchen M Wescheshermay, LICSW
Title
Executive Director
Phone
(763) 784-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 801741MHC MN Primary

Addresses

Primary practice location

425 Coon Rapids Blvd
#200
Coon Rapids, MN 55433

Mailing address

425 Coon Rapids Blvd
#200
Coon Rapids, MN 55433
Phone (763) 784-3008

National Provider Directory

National Provider Directory

Locations

425 Coon Rapids Blvd NW
Ste 200
Minneapolis, MN 55433
Phone (763) 360-8023

Practitioners & affiliated clinicians

Practitioners 7

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043311368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 COON RAPIDS BLVD",
            "address_2": "#200",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-784-3008",
            "fax_number": "763-784-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 COON RAPIDS BLVD",
            "address_2": "#200",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-784-3008",
            "fax_number": "763-784-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN COUNSELING CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESCHESHERMAY",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-784-3008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "801741MHC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.