Qol Guidance PC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP3677 Issued in MN

Legal business name

QOL GUIDANCE PC

Practice address

4651 Nicols Rd
Suite 102a
Eagan, MN 55122-3336

Phone

(651) 688-3168

Fax

(651) 688-3583

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda K Gordon, MA LP LADCNPI 1679555122

Title

Owner President Sole Employee

Phone

(651) 688-3168

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Linda K Gordon Other name

Locations

Practitioners 1

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

• Linda Kamstra Gordon, M.A., L.P., L.A.D.C.

  • Psychologist
  • Eagan, MN
  • NPI 1679555122
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1629159678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 NICOLS RD",
            "address_2": "SUITE 102A",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223336",
            "telephone_number": "651-688-3168",
            "fax_number": "651-688-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 NICOLS RD",
            "address_2": "SUITE 102A",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223336",
            "telephone_number": "651-688-3168",
            "fax_number": "651-688-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QOL GUIDANCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER PRESIDENT SOLE EMPLOYEE",
        "authorized_official_telephone_number": "651-688-3168",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LP LADC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3677",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "LADC300273",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP3677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "499R3QO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6254046",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7496066",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda K Gordon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Linda S. Raasch, ED.D., L.P.

• Counseling Psychologist in Eagan, MN
• Providers in Eagan, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.