Organization Active NPI

Voos Behavioral Health Services

  • Counseling Psychologist
  • Little Canada, MN
National Provider Identifier
1265974844
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
VOOS BEHAVIORAL HEALTH SERVICES
Practice address
2353 Rlce Street
Suite 108
Little Canada, MN 55113
Phone
(651) 340-5216
NPI assigned
Nov 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Mr. Xulivong Moua, MA, LPCCNPI 1275888034
Title
Psychotherapist
Phone
(651) 340-5216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary
Community/Behavioral Health Agency 251S00000X CC00494 MN

Addresses

Primary practice location

2353 Rlce Street
Suite 108
Little Canada, MN 55113

Mailing address

2353 Rlce Street
Suite 108
Little Canada, MN 55113
Phone (651) 340-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181004001399 MN Part B Supplier - Clinic/Group Practice 2264784115 Receives reassigned benefits from 2 practitioners
Practice locations: Little Canada, MN

National Provider Directory

National Provider Directory

Locations

2353 Rice St
Ste 108
Saint Paul, MN 55113
Phone (651) 340-5216

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1265974844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 RLCE STREET",
            "address_2": "SUITE 108",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-340-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 RLCE STREET",
            "address_2": "SUITE 108",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-340-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOOS BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "MOUA",
        "authorized_official_first_name": "XULIVONG",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "651-340-5216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "CC00494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Canada, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.