NPIMap

Organization Active NPI

DD Opatz Counseling, LLC

  • Clinical Social Worker
  • St. Cloud, MN
National Provider Identifier
1083979207
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1902 Issued in MN
Legal business name
DD OPATZ COUNSELING, LLC
Practice address
3333 W. Division St. Ste 100
Midtown Square
St. Cloud, MN 56303
Phone
(320) 339-3226
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Ms. Diane Dockendorf OpatzNPI 1306960315
Title
Owner / Sole Member
Phone
(320) 309-8789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1902 MN Primary

Addresses

Primary practice location

3333 W. Division St. Ste 100
Midtown Square
St. Cloud, MN 56303

Mailing address

823 Aldon Drive
St. Cloud, MN 56301
Phone (320) 309-8789

National Provider Directory

National Provider Directory

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1083979207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 ALDON DRIVE",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56301",
            "telephone_number": "320-309-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W. DIVISION ST. STE 100",
            "address_2": "MIDTOWN SQUARE",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-339-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DD OPATZ COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "OPATZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "DOCKENDORF",
        "authorized_official_title_or_position": "OWNER / SOLE MEMBER",
        "authorized_official_telephone_number": "320-309-8789",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.