Active NPI
Phua'S Counseling Services, PLLC
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1063633816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15589
- Legal business name
- PHUA'S COUNSELING SERVICES, PLLC
- Practice address
- 23 Empire Dr
Suite 105
Saint Paul, MN 55103-1856 - Phone
- (651) 344-4931
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phua Yang, MSW, LICSW
- Title
- Executive Director
- Phone
- (651) 344-4931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15589 | MN | Primary |
Addresses
Primary practice location
23 Empire Dr
Suite 105
Saint Paul, MN 55103-1856
Mailing address
23 Empire Dr
Suite 105
Saint Paul, MN 55103-1856
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136317 | Other | MN | UCARE |
| 6221300 | Other | MN | UBH |
| HP51297 | Other | MN | HPPID |
National Provider Directory
National Provider Directory- Tax ID family
- Phua'S Counseling Services PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Saint Paul, MN
- NPI 1255466694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063633816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 EMPIRE DR",
"address_2": "SUITE 105",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551031856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 EMPIRE DR",
"address_2": "SUITE 105",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551031856",
"telephone_number": "651-344-4931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHUA'S COUNSELING SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "PHUA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "651-344-4931",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "15589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "136317",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6221300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPPID",
"identifier": "HP51297",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, 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.