Organization Active NPI

Wholistic Counseling and Coaching Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shoreview, MN
National Provider Identifier
1568149243
Registry record updated Jul 3, 2023
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
WHOLISTIC COUNSELING AND COACHING SERVICES
Practice address
462 Harbor Cir
Shoreview, MN 55126-1934
Phone
(612) 470-9522
NPI assigned
Jul 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Anna Marie Carroll, MA
Title
LMFT
Phone
(612) 347-9522

Specialties & licenses 1

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

Addresses

Primary practice location

462 Harbor Cir
Shoreview, MN 55126-1934

Mailing address

462 Harbor Cir
Shoreview, MN 55126-1934
Phone (612) 991-8949

Other names 1

  • Wholistic Counseling and Coaching Doing business as

National Provider Directory

National Provider Directory

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": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1568149243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 HARBOR CIR",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261934",
            "telephone_number": "612-991-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 HARBOR CIR",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261934",
            "telephone_number": "612-470-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC COUNSELING AND COACHING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "612-347-9522",
        "authorized_official_credential": "MA"
    },
    "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": [
        {
            "organization_name": "Wholistic Counseling and Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.