NPIMap

Organization Active NPI

The Therapist

Doing business as The Therapist PLC

  • Professional Counselor
  • Brainerd, MN
National Provider Identifier
1093263113
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1304 Issued in MN
Legal business name
THE THERAPIST
Doing business as
The Therapist PLC
Practice address
401 W Laurel St Ste C
Brainerd, MN 56401-3970
Phone
(218) 454-3288
Fax
(218) 461-3873
NPI assigned
Sep 19, 2016
Last updated
Mar 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Claribel Severson, LPCCNPI 1124498084
Title
Owner/Therapist
Phone
(218) 454-3288

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1304 MN Primary

Addresses

Primary practice location

401 W Laurel St Ste C
Brainerd, MN 56401-3970

Mailing address

401 W Laurel St Ste C
Brainerd, MN 56401-3970
Phone (218) 454-3288

Other names 1

  • The Therapist PLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210310002167 MN Part B Supplier - Clinic/Group Practice 7618383951 Receives reassigned benefits from 8 practitioners
Practice locations: Brainerd, MN

National Provider Directory

National Provider Directory

Locations

401 W Laurel St
Ste C
Brainerd, MN 56401
Phone (218) 454-3288

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1093263113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W LAUREL ST STE C",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013970",
            "telephone_number": "218-454-3288",
            "fax_number": "218-461-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W LAUREL ST STE C",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013970",
            "telephone_number": "218-454-3288",
            "fax_number": "218-461-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2021-03-03",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "CLARIBEL",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "218-454-3288",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Therapist PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.