Organization Active NPI

Elevated Therapy Solutions

  • Mental Health Counselor
  • Eden Prairie, MN
National Provider Identifier
1508678582
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELEVATED THERAPY SOLUTIONS
Practice address
18315 Cascade Dr Ste 170
Eden Prairie, MN 55347-1184
Phone
(952) 522-3132
Fax
(952) 333-7156
NPI assigned
Jan 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Jenelle Peterson, LPCCNPI 1134655574
Title
Owner, Practioner
Phone
(952) 522-3132

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

18315 Cascade Dr Ste 170
Eden Prairie, MN 55347-1184

Mailing address

18315 Cascade Dr Ste 170
Eden Prairie, MN 55347-1184
Phone (952) 522-3132

National Provider Directory

National Provider Directory

Locations

18315 Cascade Dr
Ste 170
Eden Prairie, MN 55347
Phone (952) 831-1944

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": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1508678582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18315 CASCADE DR STE 170",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471184",
            "telephone_number": "952-522-3132",
            "fax_number": "952-333-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18315 CASCADE DR STE 170",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471184",
            "telephone_number": "952-522-3132",
            "fax_number": "952-333-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JENELLE",
        "authorized_official_title_or_position": "OWNER, PRACTIONER",
        "authorized_official_telephone_number": "952-522-3132",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.