Organization Active NPI

Songs of the Journey Counseling Services, LLC

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1528392149
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12806 Issued in MN
Legal business name
SONGS OF THE JOURNEY COUNSELING SERVICES, LLC
Practice address
2900 Fremont Ave N
Minneapolis, MN 55411-1313
Phone
(612) 287-9913
Fax
(612) 287-9914
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
H. Jeanne Taylor, LICSW
Title
Partner
Phone
(612) 287-9913

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 12806 MN Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 4399 MN

Addresses

Primary practice location

2900 Fremont Ave N
Minneapolis, MN 55411-1313

Mailing address

2900 Fremont Ave N
Minneapolis, MN 55411-1313
Phone (612) 287-9913

Other identifiers 2

IdentifierTypeStateIssuer
1154542454MedicaidMN
1144216532MedicaidMN

National Provider Directory

National Provider Directory

Locations

2900 Fremont Ave N
Minneapolis, MN 55411
Phone (612) 287-9913

2900 Fremont Ave N
Ste 112
Minneapolis, MN 55411
Phone (612) 287-9913

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": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1528392149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FREMONT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111313",
            "telephone_number": "612-287-9913",
            "fax_number": "612-287-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FREMONT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111313",
            "telephone_number": "612-287-9913",
            "fax_number": "612-287-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONGS OF THE JOURNEY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "612-287-9913",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12806",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "4399",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154542454",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144216532",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.