Individual provider Active NPI

James Casey Kachel Slanga, MA LP

  • Counseling Psychologist
  • White Bear Lake, MN
National Provider Identifier
1497827596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
MNLP#LP0885 Issued in MN
Practice address
1280 North Birch Lake Blvd
White Bear Lake Area Community Counseling Center
White Bear Lake, MN 55110-6708
Phone
(651) 429-8544
Fax
(651) 407-5301
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X MNLP#LP0885 MN Primary

Addresses

Primary practice location

1280 North Birch Lake Blvd
White Bear Lake Area Community Counseling Center
White Bear Lake, MN 55110-6708

Mailing address

1280 North Birch Lake Blvd
White Bear Lake Area Community Counseling Center
White Bear Lake, MN 55110-6708
Phone (651) 429-8544

Other identifiers 2

IdentifierTypeStateIssuer
38P56KAOtherMNBLUE CROSS BLUE SHIELD
30137OtherMNBEHAVIORAL HEALTHCARE PRO

Other names 1

  • Mr. James Casey Slanga Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MNLP#LP0885MNMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497827596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 NORTH BIRCH LAKE BLVD",
            "address_2": "WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551106708",
            "telephone_number": "651-429-8544",
            "fax_number": "651-407-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 NORTH BIRCH LAKE BLVD",
            "address_2": "WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551106708",
            "telephone_number": "651-429-8544",
            "fax_number": "651-407-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHEL SLANGA",
        "first_name": "JAMES",
        "middle_name": "CASEY",
        "name_prefix": "Mr.",
        "credential": "MA LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "MNLP#LP0885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38P56KA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTHCARE PRO",
            "identifier": "30137",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "SLANGA",
            "middle_name": "CASEY",
            "prefix": "MR.",
            "credential": "MA LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.