NPIMap

Organization Active NPI

Natalis Counseling and Psychology Solutions, P.a.

  • Psychologist
  • Saint Paul, MN
National Provider Identifier
1447369673
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
103TP2700X Issued in MN
Legal business name
NATALIS COUNSELING AND PSYCHOLOGY SOLUTIONS, P.A.
Practice address
1600 University Ave W Ste 12
Saint Paul, MN 55104-3898
Phone
(651) 330-2360
Fax
(651) 207-4000
NPI assigned
Aug 30, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Lisa Elsen
Title
Office Manager
Phone
(651) 330-2360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 103TP2700X MN Primary

Addresses

Primary practice location

1600 University Ave W Ste 12
Saint Paul, MN 55104-3898

Mailing address

1600 University Ave W Ste 12
Saint Paul, MN 55104-3898
Phone (651) 330-2360

Other identifiers 2

IdentifierTypeStateIssuer
08296JOOtherMNBLUE CROSS/BLUE SHIELD
420652500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050829000863 MN Part B Supplier - Clinic/Group Practice 5193756104 Receives reassigned benefits from 50 practitioners
Practice locations: Saint Paul, MN; Woodbury, MN; St Louis Park, MN

National Provider Directory

National Provider Directory

Locations

1360 Energy Park Dr
Ste 340
Saint Paul, MN 55108
Phone (651) 646-8985

1600 University Ave W
Saint Paul, MN 55104
Phone (651) 644-1813

1600 University Ave W
Ste 12
Saint Paul, MN 55104
Phone (651) 233-1481

600 Highway 169 S
Ste 690
St Louis Park, MN 55426

1310 Highway 96 E
Ste 200
White Bear Lk, MN 55110
Phone (651) 426-3071

7582 Currell Blvd
Ste 114
Woodbury, MN 55125
Phone (651) 739-7539

Practitioners & affiliated clinicians

Practitioners 104

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447369673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 12",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-330-2360",
            "fax_number": "651-207-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 12",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-330-2360",
            "fax_number": "651-207-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIS COUNSELING AND PSYCHOLOGY SOLUTIONS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ELSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-330-2360",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "103TP2700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "08296JO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420652500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.