Active NPI
Courage and Grit Counseling LLC
- Marriage & Family Therapist
- St. Michael, MN
National Provider Identifier
1083287429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- COURAGE AND GRIT COUNSELING LLC
- Practice address
- 601 Central Ave W.
Suite #103 #108
St. Michael, MN 55376 - Phone
- (612) 208-8540
- NPI assigned
- Jul 22, 2021
- 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
- Jesse Johnson, LMFT
- Title
- Owner
- Phone
- (612) 280-6326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
601 Central Ave W.
Suite #103 #108
St. Michael, MN 55376
Mailing address
601 Central Ave W.
Suite #103 #108
St. Michael, MN 55376
Phone (612) 208-8540
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jesse@courageandgritcounseling.com |
National Provider Directory
National Provider DirectoryLocations
601 Central Ave W
Ste 103
Saint Michael, MN 55376
Phone (612) 208-8540
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Coon Rapids, MN
- NPI 1255667317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637712000000",
"number": "1083287429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 CENTRAL AVE W.",
"address_2": "SUITE #103 #108",
"city": "ST. MICHAEL",
"state": "MN",
"postal_code": "55376",
"telephone_number": "612-208-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CENTRAL AVE W.",
"address_2": "SUITE #103 #108",
"city": "ST. MICHAEL",
"state": "MN",
"postal_code": "55376",
"telephone_number": "612-208-8540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COURAGE AND GRIT COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-22",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-280-6326",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jesse@courageandgritcounseling.com",
"affiliation": "N",
"address_1": "6402 River Mill Dr",
"city": "Monticello",
"state": "MN",
"country_code": "US",
"postal_code": "553623607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St. Michael, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.