Organization Active NPI

Innerguidance Counseling LLC

Doing business as Innerguidance Counseling

  • Community/Behavioral Health Agency
  • Bloomington, MN
National Provider Identifier
1316364607
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
13741 Issued in MN
Legal business name
INNERGUIDANCE COUNSELING LLC
Doing business as
Innerguidance Counseling
Practice address
9501 Dakota Rd
Bloomington, MN 55438-1710
Phone
(612) 868-8678
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Eve Marie Herzog, LICSW
Title
Owner/Therapist
Phone
(612) 868-8678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 13741 MN Primary

Addresses

Primary practice location

9501 Dakota Rd
Bloomington, MN 55438-1710

Mailing address

9501 Dakota Rd
Bloomington, MN 55438-1710
Phone (612) 868-8678

Other names 1

  • Innerguidance Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240327002328 ME Part B Supplier - Clinic/Group Practice 4183061054 Receives reassigned benefits from 1 practitioner
Practice locations: Blue Hill, ME

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": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1316364607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 DAKOTA RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381710",
            "telephone_number": "612-868-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 DAKOTA RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381710",
            "telephone_number": "612-868-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERGUIDANCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "EVE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "612-868-8678",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "13741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innerguidance Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.