Minnetonka Counseling LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5065 Issued in MN

Legal business name

MINNETONKA COUNSELING LLC

Practice address

12301 Whitewater Dr # 30
Minnetonka, MN 55343-9447

Phone

(612) 799-2064

NPI assigned

Apr 18, 2017

Last updated

Apr 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Rippel, MA, LP

Title

Psychologist

Phone

(612) 799-2064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1639603541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 WHITEWATER DR # 30",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 WHITEWATER DR # 30",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439447",
            "telephone_number": "612-799-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNETONKA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "RIPPEL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-799-2064",
        "authorized_official_credential": "MA, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Minnetonka Dental Partners LLC
• Minnetonka Dental, P.L.L.C
• Minnetonka Family Chiropractic LLC
• Minnetonka Public Schools
• Minnetonka Senior Living Care, LLC

• Clinical Psychologist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.