Faithworks Counseling, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

FAITHWORKS COUNSELING, LLC

Practice address

110 1St St E
Jordan, MN 55352-1502

Phone

(952) 451-3660

NPI assigned

Jan 22, 2009

Organization subpart

Yes

Parent organization

FAITHWORKS COUNSELING LLCAs reported in NPPES

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

Authorized official

Name

Sally Irene Beck, PHDNPI 1558414136

Title

President

Phone

(952) 451-3660

Specialties & licenses 1

Addresses

Other names 1

• Anchor Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Part of

Faithworks Counseling LLC

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally Irene Beck, LMFT, PHD

  • Marriage & Family Therapist
  • Jordan, MN
  • NPI 1558414136
  Medicare reassignment NPD Authorized official
• Justine Anna Miller, LMFT

  • Marriage & Family Therapist
  • Jordan, MN
  • NPI 1295260685
  Medicare reassignment NPD
• Julie Ann Wolter, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Jordan, MN
  • NPI 1285830182
  NPD
• Kelly Vourlos, MSW, LICSW

  • Social Worker
  • Minnetonka, MN
  • NPI 1760875082
  NPD (past)

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721520000000",
    "number": "1235377656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 1ST ST E",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521502",
            "telephone_number": "952-451-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 1ST ST E",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521502",
            "telephone_number": "952-451-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10505 Wayzata Blvd Ste 203-5",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051502",
            "country_code": "US",
            "telephone_number": "952-451-3660",
            "fax_number": "952-582-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAITHWORKS COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAITHWORKS COUNSELING LLC",
        "enumeration_date": "2009-01-22",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-451-3660",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles R Cook, D. C.
• Tayler Rochelle Cornell, RN
• Cornerstone Counseling Center LLC
• Arlanda Nancy Dahnert
• Edge Medical Services
• Katie Ferraz-Souza, DDS
• First Choice Pharmacy of Jordan MN, PLLC
• First Choice Pharmacy of Jordan PC
• Jenny Flynn, LPTA
• Krista Lee Fromm, PT

• All providers in Jordan, MN
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; 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.