Mike Marek Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

01671 Issued in MN

Legal business name

MIKE MAREK COUNSELING LLC

Practice address

1405 Silver Lake Rd NW
New Brighton, MN 55112-9301

Phone

(651) 308-0450

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Mike Marek, MA LPC

Title

Psychotherapist

Phone

(651) 308-0450

Specialties & licenses 1

Addresses

Tax ID family

Mike Marek Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mikemarekcounseling

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1871993832
  NPD tax ID

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1083098081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PASCAL ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129301",
            "telephone_number": "651-308-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE MAREK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "MAREK",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "651-308-0450",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "01671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Marie Metz, D.C.
• Cynthia White Meyer, LICSW
• Juli Christine Meyer, MSSW,LICSW
• Michelle Beilby Counseling LLC
• Thomas Frederick Micka, MD
• Mia Mikel, L.A.D.C.
• William Miller, D.C.
• Mina Medical Clinic LLC
• Mindful Recovery Services LLC
• Minn Care Home Health

• Community/Behavioral Health Agency in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.