Individual provider Active NPI

Alisha Marie Rand, LPCC

  • Professional Counselor
  • Plymouth, MN
National Provider Identifier
1477073831
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01095 Issued in MN
Practice address
2855 Campus Dr Ste 660
Plymouth, MN 55441-2665
Phone
(763) 577-7900
Fax
(763) 577-7905
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC01095 MN Primary

Addresses

Primary practice location

2855 Campus Dr Ste 660
Plymouth, MN 55441-2665

Mailing address

2855 Campus Dr Ste 660
Plymouth, MN 55441-2665
Phone (763) 577-7900

Other practice location 1

199 Coon Rapids Blvd NW Ste 210
Coon Rapids, MN 55433-5860
Phone (651) 214-2575

Other practice location 2

9245 Quantrelle Ave NE
Otsego, MN 55330-0168
Phone (763) 746-9492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC01095MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD PastSince Jan 1, 2024 Accepting new patients
Family Strengths Counseling Group, LLC Past Accepting new patients
Family Support Services Inc. PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477073831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 CAMPUS DR STE 660",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412665",
            "telephone_number": "763-577-7900",
            "fax_number": "763-577-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CAMPUS DR STE 660",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412665",
            "telephone_number": "763-577-7900",
            "fax_number": "763-577-7905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Coon Rapids Blvd NW Ste 210",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554335860",
            "country_code": "US",
            "telephone_number": "651-214-2575",
            "fax_number": "612-605-7135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9245 Quantrelle Ave NE",
            "address_purpose": "LOCATION",
            "city": "Otsego",
            "state": "MN",
            "postal_code": "553300168",
            "country_code": "US",
            "telephone_number": "763-746-9492",
            "fax_number": "763-746-3685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAND",
        "first_name": "ALISHA",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.