Organization Active NPI

Northern Skies Psychotherapy and Nutrition Counseling

  • Mental Health Counselor
  • St Louis Park, MN
National Provider Identifier
1558048959
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NORTHERN SKIES PSYCHOTHERAPY AND NUTRITION COUNSELING
Practice address
3387 Brownlow Ave
St Louis Park, MN 55426-4271
Phone
(612) 293-9107
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Karen AlexanderNPI 1336168897
Title
Owner
Phone
(612) 293-9107

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3387 Brownlow Ave
St Louis Park, MN 55426-4271

Mailing address

4324 Avondale Rd
Minneapolis, MN 55416-3517
Phone (612) 293-9107

National Provider Directory

National Provider Directory

Locations

3387 Brownlow Ave
St Louis Park, MN 55426
Phone (612) 293-9107

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": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1558048959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 AVONDALE RD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554163517",
            "telephone_number": "612-293-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 BROWNLOW AVE",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264271",
            "telephone_number": "612-293-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN SKIES PSYCHOTHERAPY AND NUTRITION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-293-9107"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.