Active NPI
Buice Behavioral Healthcare Consultants Inc
- Mental Health Counselor
- Golden Valley, MN
National Provider Identifier
1104408509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BUICE BEHAVIORAL HEALTHCARE CONSULTANTS INC
- Practice address
- 1710 Douglas Dr N Ste 120
Golden Valley, MN 55422-4352 - Phone
- (763) 807-5254
- Fax
- (763) 465-3032
- NPI assigned
- Apr 25, 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
- Ms. Renay L Buice, OWNER
- Title
- Ceo
- Phone
- (763) 807-5254
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1710 Douglas Dr N Ste 120
Golden Valley, MN 55422-4352
Mailing address
910 Sheridan Ave N
Minneapolis, MN 55411-3615
Phone (763) 807-5254
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619308800000",
"number": "1104408509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 SHERIDAN AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554113615",
"telephone_number": "763-807-5254",
"fax_number": "612-465-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 DOUGLAS DR N STE 120",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224352",
"telephone_number": "763-807-5254",
"fax_number": "763-465-3032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUICE BEHAVIORAL HEALTHCARE CONSULTANTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-25",
"last_updated": "2021-04-25",
"certification_date": "2021-04-25",
"status": "A",
"authorized_official_last_name": "BUICE",
"authorized_official_first_name": "RENAY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "763-807-5254",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.