Junewell Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JUNEWELL COUNSELING

Practice address

1295 Meadow CT
Shoreview, MN 55126-8442

Phone

(763) 227-9953

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Mariam Fam, MA, LPCCNPI 1891230603

Title

Mental Health Professional

Phone

(763) 227-9953

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mariam Yacoub Fam, LPCC

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1891230603
  NPD Authorized official

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1316634769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26582 VIA MONDELO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 MEADOW CT",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268442",
            "telephone_number": "763-227-9953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26582 Via Mondelo",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926924178",
            "country_code": "US",
            "telephone_number": "763-227-9953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUNEWELL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "FAM",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "MENTAL HEALTH PROFESSIONAL",
        "authorized_official_telephone_number": "763-227-9953",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jorgensen, PSY.D
• Thresiamma Augustine Joseph, MD
• Deepa Joshi
• Karla Ann Joyce, D.C.
• Kevin C. Juleen, D.C.
• Kul Bahdur Kadariya
• Lizabeth Kaku, MD
• Ashleigh D Sheak Kane, MS
• Corina Keefe, RPH
• Rachel Mary Keller, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.