Dakota Therapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00048 Issued in MN

Legal business name

DAKOTA THERAPY

Practice address

2278 County Road E W
New Brighton, MN 55112-7141

Phone

(651) 207-5000

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Dakota Michael Baker, L.P.C.C, L.A.D.C.

Title

C.E.O.

Phone

(651) 207-5000

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1285942912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW",
            "address_2": "SUITE 17",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129301",
            "telephone_number": "651-207-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 COUNTY ROAD E W",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127141",
            "telephone_number": "651-207-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DAKOTA",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "651-207-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C.C, L.A.D.C."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MN",
            "license": "CC00048",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301739",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00048",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I HAVE AN OTHER NPI NUMBER FOR WORKING IN ANOTHER CLINIC, NOT MY BUSINESS",
            "identifier": "1265769418",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.