Organization Active NPI

Rekindle Counseling, LLC

Doing business as Rekindle Counseling

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1497176234
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1815 Issued in MN
Legal business name
REKINDLE COUNSELING, LLC
Doing business as
Rekindle Counseling
Practice address
3209 W 76TH St
Suite 304
Edina, MN 55435-5246
Phone
(952) 929-9929
NPI assigned
Dec 20, 2013
Last updated
Dec 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Ms. Jennifer K Stoos, MA, M.DIV.NPI 1881837284
Title
Chief Manager
Phone
(952) 929-9929

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
Marriage & Family Therapist 106H00000X 1815 MN Primary

Addresses

Primary practice location

3209 W 76TH St
Suite 304
Edina, MN 55435-5246

Mailing address

3209 W 76TH St
Suite 304
Edina, MN 55435-5246
Phone (952) 929-9929

Other names 1

  • Rekindle Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

3209 W 76th St
Ste 304
Edina, MN 55435
Phone (612) 444-5463

Practitioners & affiliated clinicians

Practitioners 2

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": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1497176234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W 76TH ST",
            "address_2": "SUITE 304",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355246",
            "telephone_number": "952-929-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W 76TH ST",
            "address_2": "SUITE 304",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355246",
            "telephone_number": "952-929-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKINDLE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "STOOS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "952-929-9929",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, M.DIV."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rekindle Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.