Organization Active NPI

Take Flight Counseling Services LLC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1124597133
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Constance Loraine Bennett, LPCCNPI 1174955009
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Take Flight Counseling Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.