Individual provider Active NPI

Zachary Arden Hook Virnig, MA, LPCC

  • Mental Health Counselor
  • Cass Lake, MN
National Provider Identifier
1083421846
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4718 Issued in MN
Practice address
16123 61St Street NW
Cass Lake, MN 56633-3360
Phone
(218) 335-3050
NPI assigned
Dec 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4718 MN Primary

Addresses

Primary practice location

16123 61St Street NW
Cass Lake, MN 56633-3360

Mailing address

190 Sailstar Dr NW
Cass Lake, MN 56633-3565
Phone (218) 335-3050

Other names 1

  • Zachary A. Virnig Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4718MNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1083421846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SAILSTAR DR NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333565",
            "telephone_number": "218-335-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16123 61ST STREET NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333360",
            "telephone_number": "218-335-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRNIG",
        "first_name": "ZACHARY",
        "middle_name": "ARDEN HOOK",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACHARY",
            "last_name": "VIRNIG",
            "middle_name": "A.",
            "credential": "MA, LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cass Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.