NPIMap

Organization Active NPI

Core Restore Counseling, LLC

  • Community/Behavioral Health Agency
  • Blaine, MN
National Provider Identifier
1598099871
Registry record updated Sep 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1185 Issued in MN
Legal business name
CORE RESTORE COUNSELING, LLC
Practice address
12760 Aberdeen St NE Ste 205
Blaine, MN 55449-5847
Phone
(763) 286-4257
Fax
(763) 432-7424
NPI assigned
Sep 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2009

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

Authorized official

Name
Mrs. Stephanie K Rossing, LMFTNPI 1043378573
Title
Co-Owner
Phone
(763) 286-4257

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1185 MN Primary

Addresses

Primary practice location

12760 Aberdeen St NE Ste 205
Blaine, MN 55449-5847

Mailing address

12760 Aberdeen St NE Ste 205
Blaine, MN 55449-5847
Phone (763) 286-4257

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": "1253404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253404800000",
    "number": "1598099871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 ABERDEEN ST NE STE 205",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495847",
            "telephone_number": "763-286-4257",
            "fax_number": "763-432-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 ABERDEEN ST NE STE 205",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495847",
            "telephone_number": "763-286-4257",
            "fax_number": "763-432-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE RESTORE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A",
        "authorized_official_last_name": "ROSSING",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "763-286-4257",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; 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.