Enrich Counseling Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ENRICH COUNSELING SERVICES, LLC

Practice address

2988 Rice St
Little Canada, MN 55113-2230

Phone

(651) 289-1361

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Elisa Jordan

Title

Executive Director

Phone

(651) 653-4660

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1154049161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2988 RICE ST",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551132230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2988 RICE ST",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551132230",
            "telephone_number": "651-289-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICH COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-653-4660"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yodit Firissa Dereje
• Madelyn Jean Downing, PT, DPT
• Hani Duale
• Cheryl Durand
• Lois No Middle Name Given Emmerling-Knox, SLP
• Mary Mercedes Erjavec, RN
• Catherine Eschenbauch, LICSW
• Ez Transport LLC
• Family Forensic and Clinical Center
• Keyana Nicole Felder, LGSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Little Canada, MN
• Providers in Little Canada, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.