Chantelle Jessica Hoogland, LPCC, LADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC01230 Issued in MN

Practice address

250 Prairie Center Dr Ste 202
Eden Prairie, MN 55344-7911

Phone

(952) 388-9204

NPI assigned

Feb 23, 2007

Last updated

May 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1225164536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 WOODS DR",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553863401",
            "telephone_number": "952-388-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PRAIRIE CENTER DR STE 202",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447911",
            "telephone_number": "952-388-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOGLAND",
        "first_name": "CHANTELLE",
        "middle_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304850",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDI-CAL BILLING #",
            "identifier": "101076",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark F Holmberg, DDS
• Katy Marie Holthaus, COTA/L
• Homegrown Kids LLC
• Sarah Marie Hong, RN
• Ben Hoogland, LMFT
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• Irene Hoppe
• Horizon Services Inc
• Jessica Hormann, MA OTR/L
• Amy Leann Horning, L.I.C.S.W.

• Professional Counselor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.