Chart Your Course Therapeutic Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHART YOUR COURSE THERAPEUTIC SERVICES

Practice address

6900 Ives LN N
Maple Grove, MN 55369-5414

Phone

(763) 670-2289

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Priscilla Wilson, LPCCNPI 1295203016

Title

Therapist

Phone

(763) 273-0671

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Priscilla J Wilson, LPCC

  • Professional Counselor
  • Brooklyn Park, MN
  • NPI 1295203016
  NPD Authorized official

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1568088698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 IVES LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695414",
            "telephone_number": "763-670-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 IVES LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695414",
            "telephone_number": "763-670-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHART YOUR COURSE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "763-273-0671",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Island Dental
• Kyle R Cedermark, MD
• Lily J Cerar
• Katherine Tingting Chang, MD
• Sung E Chang, D.D.S.
• Raymond Alex Chartier, O.D.
• Hannah Chartrand
• Greta B Chen, MD
• Yihsuan Chen
• Aloysius Ronald Cheney

• Professional Counselor in Maple Grove, MN
• Providers in Maple Grove, 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 24, 2020; 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.