Organization Active NPI

Courage and Grit Counseling LLC

  • Marriage & Family Therapist
  • St. Michael, MN
National Provider Identifier
1083287429
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Nov 24, 2021

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address jesse@courageandgritcounseling.com

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.