Aurora Counseling Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

AURORA COUNSELING SERVICES

Practice address

1505 Southcross Dr W Ste 104
Burnsville, MN 55306-6609

Phone

(952) 652-7645

Fax

(952) 241-1671

NPI assigned

Dec 7, 2020

Last updated

Jun 14, 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

Kowsar Shkish Shafie, LSW

Title

Owner

Phone

(952) 652-7645

Specialties & licenses 1

Addresses

Other names 1

• Alliance Wellness Autism Center Limited Former legal business name

Locations

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1376149336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SOUTHCROSS DR W STE 104",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066609",
            "telephone_number": "952-652-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SOUTHCROSS DR W STE 104",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066609",
            "telephone_number": "952-652-7645",
            "fax_number": "952-241-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "SHAFIE",
        "authorized_official_first_name": "KOWSAR",
        "authorized_official_middle_name": "SHKISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-652-7645",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Wellness Autism Center Limited",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.