Organization Active NPI

Apollo Counseling Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edina, MN
National Provider Identifier
1265992994
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
APOLLO COUNSELING INC.
Doing business as
Apollo Counseling Inc.
Practice address
7201 York Ave S Apt 1220
Edina, MN 55435-4447
Phone
(651) 434-2166
NPI assigned
Mar 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Mr. Samuel Lais Major, LMFTNPI 1114461209
Title
Owner
Phone
(651) 434-2166

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7201 York Ave S Apt 1220
Edina, MN 55435-4447

Mailing address

PO Box 398161
Edina, MN 55439-8161
Phone (651) 434-2166

Other names 1

  • Apollo Counseling Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717002703 MN Part B Supplier - Clinic/Group Practice 2163967803 Receives reassigned benefits from 1 practitioner
Practice locations: Edina, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1265992994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398161",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554398161",
            "telephone_number": "651-434-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 YORK AVE S APT 1220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354447",
            "telephone_number": "651-434-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LAIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-434-2166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollo Counseling Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apollo Counseling Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.