NPIMap

Organization Active NPI

Brave Soul Counseling Services, LLC

  • Marriage & Family Therapist
  • St Paul Park, MN
National Provider Identifier
1457724205
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2671 Issued in MN
Legal business name
BRAVE SOUL COUNSELING SERVICES, LLC
Practice address
445 Broadway Ave Ste a
St Paul Park, MN 55071-1554
Phone
(612) 242-1224
Fax
(651) 340-2587
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Jill Ellingson, MA, LMFTNPI 1851635973
Title
Owner & Clinical Director
Phone
(952) 500-3830

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 2671 MN Primary

Addresses

Primary practice location

445 Broadway Ave Ste a
St Paul Park, MN 55071-1554

Mailing address

7201 Metro Blvd Ste 550
Edina, MN 55439-1353
Phone (952) 500-3830

Other practice location 1

7201 Metro Blvd Ste 550
Edina, MN 55439-1353
Phone (852) 500-3830

Other practice location 2

1585 Thomas Center Dr Ste 101
Eagan, MN 55122-3034
Phone (952) 500-3830

National Provider Directory

National Provider Directory

Locations

8944 Indahl Ave S
Cottage Grove, MN 55016
Phone (612) 242-1224

445 Broadway Ave
Ste A
St Paul Park, MN 55071
Phone (612) 242-1224

Practitioners & affiliated clinicians

Practitioners 3

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": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1457724205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 METRO BLVD STE 550",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391353",
            "telephone_number": "952-500-3830",
            "fax_number": "866-450-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BROADWAY AVE STE A",
            "city": "ST PAUL PARK",
            "state": "MN",
            "postal_code": "550711554",
            "telephone_number": "612-242-1224",
            "fax_number": "651-340-2587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7201 Metro Blvd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554391353",
            "country_code": "US",
            "telephone_number": "852-500-3830",
            "fax_number": "866-450-3814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1585 Thomas Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551223034",
            "country_code": "US",
            "telephone_number": "952-500-3830",
            "fax_number": "866-450-3814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAVE SOUL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "ELLINGSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "952-500-3830",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.