Park Bench Therapy, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PARK BENCH THERAPY, LLC

Practice address

4317 Upton Ave S Ste B
Minneapolis, MN 55410-1540

Phone

(612) 223-7371

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Kendall Schreier, MA, LPCCNPI 1588210611

Title

Owner

Phone

(612) 223-7371

Specialties & licenses 1

Addresses

Other names 1

• Kendall Schreier LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendall Marie Schreier, LPCC

  • Professional Counselor
  • Edina, MN
  • NPI 1588210611
  NPD Authorized official

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1407699010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 UPTON AVE S STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101540",
            "telephone_number": "612-223-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 UPTON AVE S STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101540",
            "telephone_number": "612-223-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK BENCH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "SCHREIER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-223-7371",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendall Schreier LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hannah Kelly Parish-Dunsworth, LPCC, LMHC
• Park Ave Center Inc
• Park Avenue Center
• Park Avenue Center Mental Health Services
• Park Behavioral Health & Addiction Services LLC
• Park Nicollet Clinic
• Park Nicollet Health Care Products
• Park Place Unity Clinic LLC
• Byoung Uk Park, MD
• Glennon Kyusun Park, M.D.

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.