Elevate Psychotherapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ELEVATE PSYCHOTHERAPY

Practice address

18510 Hwy 371
Brainerd, MN 56401

Phone

(218) 772-3353

Fax

(218) 514-4154

NPI assigned

Jul 19, 2024

Last updated

Jul 19, 2024By 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

Allison C Gildner, LPCCNPI 1508242223

Title

Owner, Psychotherapist

Phone

(218) 270-8851

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.

• Allison C Gildner

  • Counselor
  • Baxter, MN
  • NPI 1508242223

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1518705854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18510 HWY 371",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-772-3353",
            "fax_number": "218-514-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18510 HWY 371",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-772-3353",
            "fax_number": "218-514-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "GILDNER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "218-270-8851",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgewood Brainerd Senior Living LLC
• Deanne Ehlert
• Christa A Eickhoff, M.D.
• Jeffrey Charles Eickhoff, M.D.
• Jeremiah John Eisenschenk, M.D.
• Kristen Elliott, SLP
• Harley Lyell Ellis, RN, CNP
• Patricia Kastens Engelstad, CRNA
• Scott E Engelstad, CRNA
• Colleen Elizabeth Erickson, LICSW

• Professional Counselor in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.