Active NPI
Take Flight Counseling Services LLC
- Mental Health Counselor
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TAKE FLIGHT COUNSELING SERVICES LLC
- Doing business as
- Take Fligt Counseling Services LLC
- Practice address
- 1821 University Ave W Ste S303
Saint Paul, MN 55104-2813 - Phone
- (612) 554-9661
- Fax
- (651) 645-5970
- NPI assigned
- Nov 19, 2018
- Organization subpart
- Yes
- Parent organization
- TAKE FLIGHT COUNSELING SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Constance Loraine Bennett, LPCC
- Title
- Owner
- Phone
- (612) 554-9661
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
1821 University Ave W Ste S303
Saint Paul, MN 55104-2813
Mailing address
4318 34TH Ave S
Minneapolis, MN 55406-3831
Phone (612) 554-9661
Other names 1
- Take Fligt Counseling Services LLC
National Provider Directory
National Provider Directory- Tax ID family
- Take Flight Counseling Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- Saint Paul, MN
- NPI 1487034815
Locations
1821 University Ave W
Ste S303
Saint Paul, MN 55104
Phone (612) 554-9661
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Minneapolis, MN
- NPI 1174955009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542758400000",
"number": "1124597133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4318 34TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063831",
"telephone_number": "612-554-9661",
"fax_number": "651-645-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 UNIVERSITY AVE W STE S303",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551042813",
"telephone_number": "612-554-9661",
"fax_number": "651-645-5970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAKE FLIGHT COUNSELING SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TAKE FLIGHT COUNSELING SERVICES LLC",
"enumeration_date": "2018-11-19",
"last_updated": "2018-11-21",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "CONSTANCE",
"authorized_official_middle_name": "LORAINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-554-9661",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Take Fligt Counseling Services LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.