NPIMap

Organization Active NPI

Minnesota Online Counseling LLC

  • Marriage & Family Therapist
  • White Bear Lake, MN
National Provider Identifier
1609255694
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MINNESOTA ONLINE COUNSELING LLC
Practice address
1310 Highway 96 E
Suite 104C
White Bear Lake, MN 55110-3624
Phone
(651) 336-6942
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
David Halper, MA, LMFTNPI 1316003874
Title
Managing Member
Phone
(651) 336-6942

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1310 Highway 96 E
Suite 104C
White Bear Lake, MN 55110-3624

Mailing address

6808 Upper 28TH St N
Oakdale, MN 55128-3833
Phone (651) 336-6942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190725003486 MN Part B Supplier - Clinic/Group Practice 3072849207 Receives reassigned benefits from 19 practitioners
Practice locations: Eagan, MN; Hopkins, MN; Inver Grove Heights, MN; Little Falls, MN; Saint Paul, MN; Stillwater, MN; White Bear Lake, MN; Windom, MN

National Provider Directory

National Provider Directory

Locations

62 E Broadway
Ste 103
Little Falls, MN 56345
Phone (612) 702-4767

2277 Highway 36 W
Ste 366
Roseville, MN 55113
Phone (651) 756-7590

1825 Curve Crest Blvd W
Ste 102
Stillwater, MN 55082
Phone (651) 756-7590

1310 Highway 96 E
Ste 104C
White Bear Lake, MN 55110
Phone (651) 243-2747

915 3rd Ave
Windom, MN 56101
Phone (507) 822-3580

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1609255694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 UPPER 28TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551283833",
            "telephone_number": "651-336-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E",
            "address_2": "SUITE 104C",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103624",
            "telephone_number": "651-336-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ONLINE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "HALPER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "651-336-6942",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.