Organization Active NPI

Against the Grain LLC

Doing business as Align Your Soul Counseling

  • Professional Counselor
  • Rochester, MN
National Provider Identifier
1477250488
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AGAINST THE GRAIN LLC
Doing business as
Align Your Soul Counseling
Practice address
300 3Rd Ave SE Ste 302
Rochester, MN 55904-4681
Phone
(507) 218-5913
NPI assigned
Feb 9, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Thu-Ha Thi Park, MSNPI 1073915898
Title
Owner
Phone
(507) 218-5913

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

300 3Rd Ave SE Ste 302
Rochester, MN 55904-4681

Mailing address

300 3Rd Ave SE Ste 302
Rochester, MN 55904-4681
Phone (507) 218-5913

Other identifiers 1

IdentifierTypeStateIssuer
1073915898MedicaidMN

Other names 1

  • Align Your Soul Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240501003319 MN Part B Supplier - Clinic/Group Practice 4880034214 Receives reassigned benefits from 4 practitioners
Practice locations: Rochester, MN

National Provider Directory

National Provider Directory

Locations

300 3rd Ave SE
Ste 302
Rochester, MN 55904
Phone (507) 218-5913

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1477250488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE STE 302",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044681",
            "telephone_number": "507-218-5913",
            "fax_number": "507-353-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE STE 302",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044681",
            "telephone_number": "507-218-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAINST THE GRAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "THU-HA",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-218-5913",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073915898",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Align Your Soul Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Align Your Soul Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.