Lotus Counseling Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LOTUS COUNSELING INC

Practice address

1409 Willow St Ste 109
Minneapolis, MN 55403-2241

Phone

(612) 405-9395

NPI assigned

Jul 26, 2019

Organization subpart

No

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

Authorized official

Name

Kathryn Gandolph, LICSW

Title

President

Phone

(612) 207-4103

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1215581335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 LIBRARY LN",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264210",
            "telephone_number": "612-207-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 109",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032241",
            "telephone_number": "612-405-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "GANDOLPH",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-207-4103",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891060562",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@lotuscounselinginc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1409 Willow St Ste 109",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554032241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sahar Lotfi-Emran, M.D., PH.D.
• Katie A Loth, RD
• Taylor Mae Loth, MD
• Michael Albert Lothspeich
• Lotus Care MN LLC
• Daniel T. Lotz, M.D.
• Emil Lou, M.D., PH.D
• Renee A. M. Louck, LPCC
• Jeffrey P Louie, MD
• Eli John Louwagie, MD, PHD

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.