Organization Active NPI

Northern Pines Counseling Center, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Coon Rapids, MN
National Provider Identifier
1629573449
Registry record updated Mar 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
00271 Issued in MN
Legal business name
NORTHERN PINES COUNSELING CENTER, INC.
Practice address
277 Coon Rapids Blvd NW Ste 402
Coon Rapids, MN 55433-5865
Phone
(763) 234-0240
Fax
(763) 205-1149
NPI assigned
Mar 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2018

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

Authorized official

Name
Jodi Lee Helseth, LPCC, RPTNPI 1225187941
Title
President/Owner
Phone
(763) 234-0240

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X 00271 MN Primary

Addresses

Primary practice location

277 Coon Rapids Blvd NW Ste 402
Coon Rapids, MN 55433-5865

Mailing address

277 Coon Rapids Blvd NW Ste 402
Coon Rapids, MN 55433-5865
Phone (763) 234-0240

National Provider Directory

National Provider Directory

Locations

277 Coon Rapids Blvd NW
Ste 402
Coon Rapids, MN 55433
Phone (763) 234-0240

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": "1521936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521936000000",
    "number": "1629573449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 COON RAPIDS BLVD NW STE 402",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335865",
            "telephone_number": "763-234-0240",
            "fax_number": "763-205-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 COON RAPIDS BLVD NW STE 402",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335865",
            "telephone_number": "763-234-0240",
            "fax_number": "763-205-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PINES COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-25",
        "last_updated": "2018-03-25",
        "status": "A",
        "authorized_official_last_name": "HELSETH",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "763-234-0240",
        "authorized_official_credential": "LPCC, RPT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "00271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2018; 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.