Divine Counseling & Consulting Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

00056 Issued in MN

Legal business name

DIVINE COUNSELING & CONSULTING SERVICES, PLLC

Practice address

110 2ND St S
Suite 222
Waite Park, MN 56387-1662

Phone

(320) 259-7022

Fax

(320) 759-7059

NPI assigned

Jun 23, 2014

Last updated

Jun 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Lynn Beeman, LPCC

Title

Owner

Phone

(320) 808-8164

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Lynn Holden, MSLP

  • Counseling Psychologist
  • Waite Park, MN
  • NPI 1427159284
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1558776120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 2ND ST S",
            "address_2": "SUITE 222",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871662",
            "telephone_number": "320-259-7022",
            "fax_number": "320-759-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST S",
            "address_2": "SUITE 222",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871662",
            "telephone_number": "320-259-7022",
            "fax_number": "320-759-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE COUNSELING & CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BEEMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-808-8164",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033269162",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Hassan Dhahir
• Leah Dhein
• Katelyn Dietrich, CCC-SLP
• Kendra Dingmann
• Fardowso Dini
• Katie Ann Dobowey, D.C.
• Brianna Dockter
• Kirsten Doering, MS
• Stephanie Doll
• Mary Domine

• Professional Counselor in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.