Linda Flies Carole, PSY.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP2828 Issued in MN

Practice address

4005 W 65TH St
Suite 206
Edina, MN 55435-1720

Phone

(612) 251-4179

Fax

(952) 224-7990

NPI assigned

May 26, 2006

Last updated

Jan 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindset, Inc.

  • Clinic/Center
  • Edina, MN
  • NPI 1144265232
  Authorized official Same address or phone

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230940800000",
    "number": "1336195874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14422 HUNTERS LN",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782282",
            "telephone_number": "952-226-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 W 65TH ST",
            "address_2": "SUITE 206",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351720",
            "telephone_number": "612-251-4179",
            "fax_number": "952-224-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLE",
        "first_name": "LINDA",
        "middle_name": "FLIES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP2828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA HEALTH CARE PROGRAMS",
            "identifier": "768048100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "61-63979",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "209K7CA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Carolyn Carlson, M.A. LMFT
• Alana Marie Carnevale
• Patrick Carney, M.D.
• Alison Caro, ATC
• Carol Jean Woodbury
• Thomas F Carroll, M.D.
• Heidi Carsello
• William Carter, M.D.
• Rita Cecilia Caruso-Santamaria, CRNA
• Michael J Caruso, D.O.

• Counseling Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.