Active NPI
Renew Counseling/Sarah Doll
- Community/Behavioral Health Agency
- Burnsville, MN
National Provider Identifier
1245606243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 247
- Legal business name
- RENEW COUNSELING/SARAH DOLL
- Practice address
- 2100 County Road 42 W
Burnsville, MN 55337-6913 - Phone
- (952) 224-8990
- Fax
- (952) 224-8991
- NPI assigned
- Aug 13, 2015
- Organization subpart
- Yes
- Parent organization
- PPSM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sarah Doll, MA, LPCC
- Title
- Psychotherapist
- Phone
- (612) 308-3575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 247 | MN | Primary |
Addresses
Primary practice location
2100 County Road 42 W
Burnsville, MN 55337-6913
Mailing address
2100 County Road 42 W
Burnsville, MN 55337-6913
Phone (952) 224-8990
National Provider Directory
National Provider Directory- Part of
- Pregnancy and Postpartum Support Minnesota
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinical Social Worker
- Saint Paul, MN
- NPI 1467829168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439424000000",
"number": "1245606243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 COUNTY ROAD 42 W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376913",
"telephone_number": "952-224-8990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 COUNTY ROAD 42 W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376913",
"telephone_number": "952-224-8990",
"fax_number": "952-224-8991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW COUNSELING/SARAH DOLL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PPSM",
"enumeration_date": "2015-08-13",
"last_updated": "2015-08-13",
"status": "A",
"authorized_official_last_name": "DOLL",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "612-308-3575",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA, LPCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.