NPIMap

Organization Active NPI

Tikvah Counseling LLC

  • Psychologist
  • Minnetonka, MN
National Provider Identifier
1437419397
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP2348 Issued in MN
Legal business name
TIKVAH COUNSELING LLC
Practice address
14024 Royal CT
Minnetonka, MN 55345-3928
Phone
(612) 220-1151
Fax
(952) 681-2568
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Mr. Neal Allen Gillett, MA, LP, LICSWNPI 1801964382
Title
Owner
Phone
(612) 220-1151

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X LP2348 MN Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 8058 MN

Addresses

Primary practice location

14024 Royal CT
Minnetonka, MN 55345-3928

Mailing address

14024 Royal CT
Minnetonka, MN 55345-3928
Phone (612) 220-1151

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1437419397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 ROYAL CT",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453928",
            "telephone_number": "612-220-1151",
            "fax_number": "952-681-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14024 ROYAL CT",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453928",
            "telephone_number": "612-220-1151",
            "fax_number": "952-681-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIKVAH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "GILLETT",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-220-1151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LP,  LICSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2348",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "8058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.