NPIMap

Organization Active NPI

Minnesota Counseling and Therapy Center, Inc

Doing business as Sankalpa Therapy and Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, MN
National Provider Identifier
1659761633
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1560 Issued in MN
Legal business name
MINNESOTA COUNSELING AND THERAPY CENTER, INC
Doing business as
Sankalpa Therapy and Wellness Center
Practice address
5221 Viking Dr Ste 300
Bloomington, MN 55435-5323
Phone
(612) 849-4792
Fax
(612) 677-3722
NPI assigned
Jan 29, 2015
Last updated
May 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Erin Elizabeth Shobe, M.A., LMFTNPI 1740409242
Title
Owner/President
Phone
(612) 849-4792

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1560 MN Primary

Addresses

Primary practice location

5221 Viking Dr Ste 300
Bloomington, MN 55435-5323

Mailing address

5221 Viking Dr Ste 300
Bloomington, MN 55435-5323
Phone (612) 849-4792

Other identifiers 1

IdentifierTypeStateIssuer
1659761633MedicaidMN

Other names 1

  • Sankalpa Therapy and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240601000159 MN Part B Supplier - Clinic/Group Practice 1456893759 Receives reassigned benefits from 7 practitioners
Practice locations: Bloomington, MN

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Counseling and Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5221 Viking Dr
Ste 300
Minneapolis, MN 55435
Phone (612) 849-4792

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1659761633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 VIKING DR STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355323",
            "telephone_number": "612-849-4792",
            "fax_number": "612-677-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 VIKING DR STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355323",
            "telephone_number": "612-849-4792",
            "fax_number": "612-677-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA COUNSELING AND THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "SHOBE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "612-849-4792",
        "authorized_official_credential": "M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "1560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659761633",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sankalpa Therapy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.