Consilon

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CONSILON

Practice address

8744 67TH Street CT S
Cottage Grove, MN 55016-1600

Phone

(651) 356-5216

Fax

(651) 797-3061

NPI assigned

Mar 19, 2018

Organization subpart

No

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

Authorized official

Name

Lee Vang Thao

Title

Owner

Phone

(651) 356-5216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1437653243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8744 67TH STREET CT S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550161600",
            "telephone_number": "651-356-5216",
            "fax_number": "651-797-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8744 67TH STREET CT S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550161600",
            "telephone_number": "651-356-5216",
            "fax_number": "651-797-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSILON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "VANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-356-5216"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Chiou, M.D.
• Frances E Churchill
• City of Cottage Grove
• Casandra Jewel Clark
• Comfortcare Services Co
• Ann R Cook, BA, LADC
• Cottage Grove Chiropractic Clinic, PA
• Cottage Grove Smiles Dentistry, PC
• Cottage Grove WP, LLC
• Jodi J Cowan, LPC

• Adult Mental Health Clinic/Center in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.