Organization Active NPI

Cardinal Counseling, LLC

  • Mental Health Counselor
  • Moorhead, MN
National Provider Identifier
1467039958
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CARDINAL COUNSELING, LLC
Practice address
819 30TH Ave S Ste 202
Moorhead, MN 56560-5054
Phone
(701) 212-7662
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Ms. Nicole Andrea Brenny, LPC
Title
Authorized Official/Owner
Phone
(701) 212-7662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

819 30TH Ave S Ste 202
Moorhead, MN 56560-5054

Mailing address

819 30TH Ave S Ste 202
Moorhead, MN 56560-5054
Phone (701) 212-7662

National Provider Directory

National Provider Directory

Locations

819 30th Ave S
Ste 202
Moorhead, MN 56560
Phone (218) 443-0088

Practitioners & affiliated clinicians

Practitioners 1

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": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1467039958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S STE 202",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605054",
            "telephone_number": "701-212-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S STE 202",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605054",
            "telephone_number": "701-212-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "BRENNY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "701-212-7662",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.