Active NPI
Justine Michael-Gilbert, MS, LPCC
- Professional Counselor
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4290
- Practice address
- 7601 Wayzata Blvd
Minneapolis, MN 55426-1626 - Phone
- (612) 223-8898
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10941-125 | WI | |
| Professional Counselor | 101YP2500X | 4290 | MN | Primary |
Addresses
Primary practice location
7601 Wayzata Blvd
Minneapolis, MN 55426-1626
Mailing address
7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Phone (612) 223-8898
Other names 1
- Justine Michael
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10941-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Clinics, LLC | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado PC | Past | Accepting new patients |
Locations
7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268
8980 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 501-1467
501 N Riverfront Dr
Mankato, MN 56001
Phone (612) 223-8988
11671 Fountains Dr N
Ste 200
Maple Grove, MN 55369
Phone (763) 585-0600
310 Clifton Ave
Minneapolis, MN 55403
Phone (612) 284-2870
3601 Minnesota Dr
Ste 575
Minneapolis, MN 55435
Phone (612) 799-8975
204 W Franklin Ave
Minneapolis, MN 55404
Phone (612) 223-8899
4100 Berkshire Ln N
Ste 250
Plymouth, MN 55446
1155 Northland Dr
Saint Paul, MN 55120
Phone (612) 223-8899
7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Northern Psychiatric Associates of Minnesota
- Clinical Psychologist
- Baxter, MN
- NPI 1124898556
-
- Psychologist
- St Louis Park, MN
- NPI 1851716245
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
-
dba Care Counseling of Minnesota
- Psychologist
- Edina, MN
- NPI 1336967561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1407511421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261623",
"telephone_number": "612-223-8898",
"fax_number": "612-223-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 WAYZATA BLVD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554261626",
"telephone_number": "612-223-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL-GILBERT",
"first_name": "JUSTINE",
"credential": "MS, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "10941-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "4290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUSTINE",
"last_name": "MICHAEL",
"credential": "MS, LPCC",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.