NPIMap

Organization Active NPI

CHJL LLC

  • Professional Counselor
  • Bloomington, MN
National Provider Identifier
1194184465
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00282 Issued in MN
Legal business name
CHJL LLC
Practice address
8120 Penn Ave S Ste 252
Bloomington, MN 55431-1358
Phone
(612) 251-4753
Fax
(651) 730-6657
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Ms. Louise Phelps Page, LPCCNPI 1902978315
Title
Psychotherapist/Partner
Phone
(612) 251-4753

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X CC00282 MN Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 4714 MN

Addresses

Primary practice location

8120 Penn Ave S Ste 252
Bloomington, MN 55431-1358

Mailing address

8120 Penn Ave S Ste. 252
Bloomington, MN 55437
Phone (612) 251-4753

Other names 1

  • Be. Counseling Partners Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160518000719 MN Part B Supplier - Clinic/Group Practice 1456640242 Receives reassigned benefits from 6 practitioners
Practice locations: Bloomington, MN

National Provider Directory

National Provider Directory

Locations

8120 Penn Ave S
Ste 252
Minneapolis, MN 55431
Phone (320) 808-5353

Practitioners & affiliated clinicians

Practitioners 7

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": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1194184465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S STE. 252",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55437",
            "telephone_number": "612-251-4753",
            "fax_number": "651-730-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S STE 252",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311358",
            "telephone_number": "612-251-4753",
            "fax_number": "651-730-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHJL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "PHELPS",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/PARTNER",
        "authorized_official_telephone_number": "612-251-4753",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00282",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be. Counseling Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.