Both Sides Counseling

Primary specialty

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

Legal business name

BOTH SIDES COUNSELING

Practice address

711 W Lake St Ste 402
Minneapolis, MN 55408-2954

Phone

(651) 321-1515

NPI assigned

Jun 5, 2019

Last updated

May 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nathan Jay Kavlie, JD

Title

Practice Manager and Partner

Phone

(651) 321-1515

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cory Christopher Call, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1770095556
  NPD
• Evita Michelle Sanchez, MS, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1184325706
  NPD

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1366000135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W LAKE ST STE 402",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082954",
            "telephone_number": "651-321-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W LAKE ST STE 402",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082954",
            "telephone_number": "651-321-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTH SIDES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "KAVLIE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRACTICE MANAGER AND PARTNER",
        "authorized_official_telephone_number": "651-321-1515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Sue Bostick, FNP-BC
• Blake John Bostrom
• Bruce C Bostrom, MD
• Susan Bot
• Ahmed Jama Botan
• Barbara Botorous
• Jack George Soliman Botros, DDS, MS
• Rachel Elizabeth Bottcher, APRN, CRNA
• Nancy K Bottorff, LP
• Christina Leah Botts

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minneapolis, MN
• Providers in Minneapolis, 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 May 20, 2024; 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.