Active NPI
Northern Skies Psychotherapy and Nutrition Counseling
- Mental Health Counselor
- St Louis Park, MN
National Provider Identifier
1558048959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Alexander
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
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- Woodland, CA
- NPI 1336168897
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.