Active NPI
Lakeside Counseling
- Professional Counselor
- Long Lake, MN
National Provider Identifier
1457045452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- LAKESIDE COUNSELING
- Practice address
- 2073 W Wayzata Blvd Ste 200
Long Lake, MN 55356-4520 - Phone
- (414) 530-0884
- NPI assigned
- Jun 5, 2023
- 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
- Kathryn Muller, MA
- Title
- Owner
- Phone
- (414) 530-0884
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2073 W Wayzata Blvd Ste 200
Long Lake, MN 55356-4520
Mailing address
2073 W Wayzata Blvd Ste 200
Long Lake, MN 55356-4520
Phone (414) 530-0884
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Long Lake, MN
- NPI 1851889810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685923200000",
"number": "1457045452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2073 W WAYZATA BLVD STE 200",
"city": "LONG LAKE",
"state": "MN",
"postal_code": "553564520",
"telephone_number": "414-530-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2073 W WAYZATA BLVD STE 200",
"city": "LONG LAKE",
"state": "MN",
"postal_code": "553564520",
"telephone_number": "414-530-0884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKESIDE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A",
"authorized_official_last_name": "MULLER",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-530-0884",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.