Innovative Healing Counseling & Consulting, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

469-12-1-01-187 Issued in ND

Legal business name

INNOVATIVE HEALING COUNSELING & CONSULTING, LLC

Practice address

13508 County 1
Cavalier, ND 58220-9421

Phone

(701) 520-3655

Fax

(701) 265-4628

NPI assigned

Oct 7, 2017

Last updated

Jun 20, 2018By 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

Mrs. Angela Marie Longtin, LPCCNPI 1134505761

Title

Owner/Therapist

Phone

(701) 922-0628

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Marie Longtin, LPCC

  • Professional Counselor
  • Cavalier, ND
  • NPI 1134505761
  NPD (past) Authorized official

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1649780347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13508 COUNTY 1",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582209421",
            "telephone_number": "701-520-3655",
            "fax_number": "701-265-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13508 COUNTY 1",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582209421",
            "telephone_number": "701-520-3655",
            "fax_number": "701-265-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALING COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "LONGTIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "701-922-0628",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "469-12-1-01-187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ford, NURSE PRACTITIONER
• Rose M Greb, R.PH.
• Mark James Hardy, PHARM D CANDIDATE
• Janae Crystal Heuchert, PHARMD
• Chris Houska, M.S.
• Jayme Annette Jonasson, FNP
• Taresa Loann Jones
• Inder V Khokha, MD
• Emily Koenig, LCSW
• Sean Allan La Frentz, PHARM.D

• Professional Counselor in Cavalier, ND
• Providers in Cavalier, ND by specialty
• Professional Counselor in North Dakota

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