DBT Specialists P.a.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DBT SPECIALISTS P.A.

Practice address

2025 Stearns Way
Suite 105
Saint Cloud, MN 56303-4491

Phone

(612) 839-5692

NPI assigned

May 15, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer M Klutch, M.A LPCC

Title

C.E.O.

Phone

(612) 237-7341

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083025712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 OXBOROUGH AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY",
            "address_2": "SUITE 105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034491",
            "telephone_number": "612-839-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBT SPECIALISTS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KLUTCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "612-237-7341",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.