Organization Active NPI

Cortesia Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maple Grove, MN
National Provider Identifier
1538972971
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CORTESIA COUNSELING LLC
Practice address
11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195
Phone
(763) 229-7633
NPI assigned
Jan 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Julie Bosacker, LPCCNPI 1043635055
Title
Owner
Phone
(763) 229-7633

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195

Mailing address

11670 Fountains Dr Ste 200
Maple Grove, MN 55369-7195
Phone (763) 229-7633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250212000248 MN Part B Supplier - Clinic/Group Practice 3274063847 Receives reassigned benefits from 1 practitioner
Practice locations: Maple Grove, MN

National Provider Directory

National Provider Directory

Locations

11670 Fountains Dr N
Ste 200
Maple Grove, MN 55369
Phone (612) 355-0693

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": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1538972971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 FOUNTAINS DR STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697195",
            "telephone_number": "763-229-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 FOUNTAINS DR STE 200",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697195",
            "telephone_number": "763-229-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTESIA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "BOSACKER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-229-7633",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.