Organization Active NPI

Agape Counseling Services

  • Adult Mental Health Clinic/Center
  • Brooklyn Park, MN
National Provider Identifier
1184033664
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
00487 Issued in MN
Legal business name
AGAPE COUNSELING SERVICES
Practice address
10037 Colorado LN N
Brooklyn Park, MN 55445-1664
Phone
(507) 316-4815
NPI assigned
Aug 8, 2014
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Connie Wheeler, LPCC LADCNPI 1538215793
Title
Psychotherapist
Phone
(507) 316-4815

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Adult Mental Health Clinic/Center 261QM0850X 00487 MN Primary

Addresses

Primary practice location

10037 Colorado LN N
Brooklyn Park, MN 55445-1664

Mailing address

10037 Colorado LN N
Brooklyn Park, MN 55445-1664
Phone (507) 316-4815

Other identifiers 1

IdentifierTypeStateIssuer
1538215793MedicaidMN

Other names 1

  • AGAPE COUNSELING SERVICES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250829003805 MN Part B Supplier - Clinic/Group Practice 2769983790 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory
Tax ID family
Agape Counseling Services2 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.

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": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1184033664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10037 COLORADO LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451664",
            "telephone_number": "507-316-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10037 COLORADO LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451664",
            "telephone_number": "507-316-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "507-316-4815",
        "authorized_official_credential": "LPCC LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "00487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538215793",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGAPE COUNSELING SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.