NPIMap

Organization Active NPI

Affiliated Counseling Center

  • Psychologist
  • Fridley, MN
National Provider Identifier
1194836064
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP 3668 Issued in MN
Legal business name
AFFILIATED COUNSELING CENTER
Practice address
7260 University Ave NE
Suite 235
Fridley, MN 55432-3126
Phone
(763) 572-2605
Fax
(763) 572-2606
NPI assigned
Aug 31, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Paul Anthony Martinson
Title
Clinic Director
Phone
(763) 572-2605

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC 103 MN
Psychologist 103T00000X LP 3668 MN Primary
Marriage & Family Therapist 106H00000X LMFT 1081 MN

Addresses

Primary practice location

7260 University Ave NE
Suite 235
Fridley, MN 55432-3126

Mailing address

7260 University Ave NE
Suite 235
Fridley, MN 55432-3126
Phone (763) 572-2605

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1194836064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE",
            "address_2": "SUITE 235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323126",
            "telephone_number": "763-572-2605",
            "fax_number": "763-572-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE",
            "address_2": "SUITE 235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323126",
            "telephone_number": "763-572-2605",
            "fax_number": "763-572-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARTINSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "763-572-2605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "LPC 103",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 3668",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "LMFT 1081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.