Active NPI
Cultivate Counseling and Wellness
- Mental Health Counselor
- Minneapolis, MN
National Provider Identifier
1447713672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CULTIVATE COUNSELING AND WELLNESS
- Practice address
- 615 1St Ave NE Ste 405
Minneapolis, MN 55413-2447 - Phone
- (612) 849-5665
- NPI assigned
- Apr 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janelle Zimmerman, LPCC
- Title
- Owner/Therapist
- Phone
- (612) 849-5665
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Registered Dietitian | 133V00000X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
615 1St Ave NE Ste 405
Minneapolis, MN 55413-2447
Mailing address
1212 Main St NE Apt 237
Minneapolis, MN 55413-1398
Phone (612) 849-5665
National Provider Directory
National Provider DirectoryLocations
615 1st Ave NE
Ste 405
Minneapolis, MN 55413
Phone (612) 324-7768
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Saint Paul, MN
- NPI 1023448537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555200000000",
"number": "1447713672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 MAIN ST NE APT 237",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131398",
"telephone_number": "612-849-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 1ST AVE NE STE 405",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132447",
"telephone_number": "612-849-5665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CULTIVATE COUNSELING AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-14",
"last_updated": "2019-04-14",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "JANELLE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "612-849-5665",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.