Community Counseling Clinic

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1597 Issued in MN

Legal business name

COMMUNITY COUNSELING CLINIC

Practice address

700 Twelve Oaks Center Dr
Ste. 734
Wayzata, MN 55391-4401

Phone

(952) 258-0668

Fax

(612) 235-3384

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue Hierl

Title

Office Manager

Phone

(952) 258-0668

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Darlene Heimerl, M.A.

  • Psychologist
  • Wayzata, MN
  • NPI 1437485190
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487739819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16725 12TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554473001",
            "telephone_number": "763-473-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TWELVE OAKS CENTER DR",
            "address_2": "STE. 734",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914401",
            "telephone_number": "952-258-0668",
            "fax_number": "612-235-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIERL",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "952-258-0668"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearstep Neuropsychology PLLC
• Chloe Cleppe
• Tasia Cloutier, LPCC
• Amanda Collins, DNP
• Common Sense Health & Wellness
• Community of Recovering People (The Retreat)
• Confident Kids and Couples Counseling
• Contrast Mental Health
• Colleen Diane Crichton, P.T.
• Amy Bryce Crum, MS, RD, LD

• Psychologist in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.