NPIMap

Organization Active NPI

Inspired Bravery Counseling, LLC

  • Clinical Social Worker
  • Crystal, MN
National Provider Identifier
1528813995
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INSPIRED BRAVERY COUNSELING, LLC
Practice address
3601 Douglas Drive N
Crystal, MN 55422
Phone
(218) 371-5645
NPI assigned
Apr 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Josie Ridpath, MSW, LICSWNPI 1881326668
Title
Owner
Phone
(218) 371-5645

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3601 Douglas Drive N
Crystal, MN 55422

Mailing address

11500 Wayzata Blvd # 1338
Minnetonka, MN 55305-2007

National Provider Directory

National Provider Directory

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": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1528813995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 WAYZATA BLVD # 1338",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 DOUGLAS DRIVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "218-371-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED BRAVERY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "RIDPATH",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-371-5645",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

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