Organization Active NPI

East Central Counseling Center

  • Social Worker
  • North Branch, MN
National Provider Identifier
1487864161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
EAST CENTRAL COUNSELING CENTER
Practice address
38625 14TH Ave
Suite#D
North Branch, MN 55056-6682
Phone
(651) 674-8822
Fax
(651) 277-8822
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Garnaas, LIC SWNPI 1336107903
Title
Owner
Phone
(651) 674-8822

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

38625 14TH Ave
Suite#D
North Branch, MN 55056-6682

Mailing address

PO Box 502
North Branch, MN 55056-0502
Phone (651) 674-8822

Other identifiers 1

IdentifierTypeStateIssuer
6G186EAOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

38625 14th Ave
North Branch, MN 55056
Phone (651) 674-8822

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487864161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550560502",
            "telephone_number": "651-674-8822",
            "fax_number": "651-277-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38625 14TH AVE",
            "address_2": "SUITE#D",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566682",
            "telephone_number": "651-674-8822",
            "fax_number": "651-277-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CENTRAL COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARNAAS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-674-8822",
        "authorized_official_credential": "LIC SW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6G186EA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MN

Sources for this page

  • 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.