NPIMap

Organization Active NPI

Dan Christensen-Cowan Licsw, L.L.C.

  • Adult Mental Health Clinic/Center
  • Mendota Heights, MN
National Provider Identifier
1124525142
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
21019 Issued in MN
Legal business name
DAN CHRISTENSEN-COWAN LICSW, L.L.C.
Practice address
675 Cheyenne LN
Mendota Heights, MN 55120-1687
Phone
(651) 216-1202
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Daniel Grant Christensen-Cowan, LICSWNPI 1114360674
Title
Psychotherapist
Phone
(651) 216-1202

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
Adult Mental Health Clinic/Center 261QM0850X 21019 MN Primary

Addresses

Primary practice location

675 Cheyenne LN
Mendota Heights, MN 55120-1687

Mailing address

675 Cheyenne LN
Mendota Heights, MN 55120-1687
Phone (651) 216-1202

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": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1124525142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CHEYENNE LN",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201687",
            "telephone_number": "651-216-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CHEYENNE LN",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201687",
            "telephone_number": "651-216-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN CHRISTENSEN-COWAN LICSW, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN-COWAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "651-216-1202",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "21019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.