NPIMap

Organization Active NPI

Northern Integrated Health Inc

  • Adult Mental Health Clinic/Center
  • Minnetonka, MN
National Provider Identifier
1588948723
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NORTHERN INTEGRATED HEALTH INC
Practice address
12450 Wayzata Blvd Ste 107
Minnetonka, MN 55305-1926
Phone
(952) 545-4241
NPI assigned
Oct 6, 2011
Organization subpart
Yes
Parent organization
NORTHERN INTEGRATED HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Mrs. Lois Schlutter
Title
Owner/Operater
Phone
(952) 548-9340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

12450 Wayzata Blvd Ste 107
Minnetonka, MN 55305-1926

Mailing address

12450 Wayzata Blvd Ste 107
Minnetonka, MN 55305-1926
Phone (952) 545-4241

Other names 1

  • Professional Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Integrated Health Inc4 organizations share this tax ID, including this one
Part of
Northern Integrated Health Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12450 Wayzata Blvd
Ste 107
Minnetonka, MN 55305
Phone (952) 545-4241

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1588948723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 WAYZATA BLVD STE 107",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051926",
            "telephone_number": "952-545-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 WAYZATA BLVD STE 107",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051926",
            "telephone_number": "952-545-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INTEGRATED HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN INTEGRATED HEALTH INC",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "SCHLUTTER",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "OWNER/OPERATER",
        "authorized_official_telephone_number": "952-548-9340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.