Organization Active NPI

Confident Kids and Couples Counseling

  • Counseling Psychologist
  • Wayzata, MN
National Provider Identifier
1134572522
Registry record updated Jul 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP5311 Issued in MN
Legal business name
CONFIDENT KIDS AND COUPLES COUNSELING
Practice address
600 Twelve Oaks Center Dr
Ste 219
Wayzata, MN 55391-4501
Phone
(952) 232-7011
NPI assigned
Jul 20, 2016
Last updated
Jul 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2016

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

Authorized official

Name
Dr. Sonja Benson Lockman, PH.D.
Title
Ceo
Phone
(952) 232-7011

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X
Counseling Psychologist 103TC1900X LP5311 MN Primary
Clinical Child & Adolescent Psychologist 103TC2200X
School Psychologist 103TS0200X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

600 Twelve Oaks Center Dr
Ste 219
Wayzata, MN 55391-4501

Mailing address

600 Twelve Oaks Center Dr
Ste 219
Wayzata, MN 55391-4501
Phone (952) 232-7011

National Provider Directory

National Provider Directory

Locations

600 Twelve Oaks Center Dr
Ste 219
Wayzata, MN 55391
Phone (952) 232-7011

Practitioners & affiliated clinicians

Practitioners 1

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": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469923200000",
    "number": "1134572522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR",
            "address_2": "STE 219",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914501",
            "telephone_number": "952-232-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR",
            "address_2": "STE 219",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914501",
            "telephone_number": "952-232-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENT KIDS AND COUPLES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-31",
        "status": "A",
        "authorized_official_last_name": "BENSON LOCKMAN",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-232-7011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP5311",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2016; 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.