NPIMap

Organization Active NPI

Take Flight Counseling Services LLC

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1487034815
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
00607 Issued in MN
Legal business name
TAKE FLIGHT COUNSELING SERVICES LLC
Doing business as
Take Flight Counseling Services
Practice address
1821 University Ave W
Suite# S303
Saint Paul, MN 55104-2801
Phone
(612) 554-9661
Fax
(612) 328-9555
NPI assigned
Jun 1, 2015
Organization subpart
Yes
Parent organization
TAKE FLIGHT COUNSELING SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Constance Loraine Bennett, LPCCNPI 1174955009
Title
Owner
Phone
(612) 554-9661

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 CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 00607 MN Primary

Addresses

Primary practice location

1821 University Ave W
Suite# S303
Saint Paul, MN 55104-2801

Mailing address

4318 34TH Avenue South
Minneapolis, MN 55406
Phone (612) 554-9661

Other names 2

  • Take Flight Counseling Services Doing business as
  • Take Flight Counseling Service Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181115002997 MN Part B Supplier - Clinic/Group Practice 0547514259 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory
Tax ID family
Take Flight Counseling Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1821 University Ave W
Ste 303
Saint Paul, MN 55104
Phone (612) 554-9661

Practitioners & affiliated clinicians

Practitioners 2

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": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1487034815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 34TH AVENUE SOUTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-554-9661",
            "fax_number": "612-328-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W",
            "address_2": "SUITE# S303",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042801",
            "telephone_number": "612-554-9661",
            "fax_number": "612-328-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE FLIGHT COUNSELING SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAKE FLIGHT COUNSELING SERVICES, LLC",
        "enumeration_date": "2015-06-01",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "LORAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-554-9661",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Take Flight Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Take Flight Counseling Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.