NPIMap

Organization Active NPI

Counseling Psychologists of Woodbury, P.a.

  • Psychologist
  • Woodbury, MN
National Provider Identifier
1659301398
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
COUNSELING PSYCHOLOGISTS OF WOODBURY, P.A.
Doing business as
Counseling Psychologists of St. Paul
Practice address
7582 Currell Blvd
Suite 208
Woodbury, MN 55125-2262
Phone
(651) 739-7539
Fax
(651) 730-9200
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Robin McLeod, PH.D., LP
Title
President
Phone
(651) 739-7539

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP3073 MN

Addresses

Primary practice location

7582 Currell Blvd
Suite 208
Woodbury, MN 55125-2262

Mailing address

7582 Currell Blvd
Suite 208
Woodbury, MN 55125-2262
Phone (651) 739-7539

Other identifiers 1

IdentifierTypeStateIssuer
214351800MedicaidMN

Other names 1

  • Counseling Psychologists of St. Paul Doing business as

National Provider Directory

National Provider Directory

Locations

790 Cleveland Ave S
Ste 223
Saint Paul, MN 55116
Phone (612) 552-1230

7582 Currell Blvd
Ste 108
Woodbury, MN 55125
Phone (651) 261-6983

1789 Woodlane Dr
#C
Woodbury, MN 55125
Phone (651) 739-7539

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659301398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD",
            "address_2": "SUITE 208",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252262",
            "telephone_number": "651-739-7539",
            "fax_number": "651-730-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7582 CURRELL BLVD",
            "address_2": "SUITE 208",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252262",
            "telephone_number": "651-739-7539",
            "fax_number": "651-730-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING PSYCHOLOGISTS OF WOODBURY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-739-7539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3073",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214351800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Psychologists of St. Paul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.