Organization Active NPI

Living Well Counseling, LLC

  • Professional Counselor
  • Elk River, MN
National Provider Identifier
1356956205
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIVING WELL COUNSELING, LLC
Practice address
231 Main St NW Ste 5
Elk River, MN 55330-1884
Phone
(763) 772-5887
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Sheila Ann Selinsky, MA, LMFTNPI 1033314844
Title
Partner, Mental Health Counselor
Phone
(763) 772-5887

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

231 Main St NW Ste 5
Elk River, MN 55330-1884

Mailing address

31132 103Rd St
Princeton, MN 55371-4661
Phone (763) 772-5887

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL http//livingwellcounselingmn.com Direct
CONNECT URL http//livingwellcounselingmn.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251226000043 MN Part B Supplier - Clinic/Group Practice 3577059765 Receives reassigned benefits from 3 practitioners
Practice locations: Elk River, MN

National Provider Directory

National Provider Directory

Locations

231 Main St NW
Ste 5
Elk River, MN 55330
Phone (763) 237-3505

Practitioners & affiliated clinicians

Practitioners 3

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": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1356956205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31132 103RD ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714661",
            "telephone_number": "763-772-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAIN ST NW STE 5",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301884",
            "telephone_number": "763-772-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "SELINSKY",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PARTNER, MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "763-772-5887",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http//livingwellcounselingmn.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "231 Main St NW Ste 5",
            "city": "Elk River",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553301884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http//livingwellcounselingmn.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "231 Main St NW Ste 5",
            "city": "Elk River",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553301884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.