Organization Active NPI

Generations Counseling Services, LLC

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1194041756
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16475 Issued in MN
Legal business name
GENERATIONS COUNSELING SERVICES, LLC
Practice address
1595 Selby Ave Ste 203
Saint Paul, MN 55104-4528
Phone
(612) 655-7678
NPI assigned
Apr 7, 2010
Last updated
Apr 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Ms. Dionne Marie Blood, MSW, LICSWNPI 1104869346
Title
Owner
Phone
(612) 655-7678

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 16475 MN Primary

Addresses

Primary practice location

1595 Selby Ave Ste 203
Saint Paul, MN 55104-4528

Mailing address

1620 Rhode Island Ave N
Golden Valley, MN 55427-4065
Phone (612) 655-7678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100813000757 MN Part B Supplier - Clinic/Group Practice 3274667175 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

1595 Selby Ave
Ste 203
Saint Paul, MN 55104
Phone (612) 655-7678

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": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1194041756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 RHODE ISLAND AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274065",
            "telephone_number": "612-655-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SELBY AVE STE 203",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044528",
            "telephone_number": "612-655-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "BLOOD",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-655-7678",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 2010; 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.