Faith Counseling and Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAITH COUNSELING AND WELLNESS, LLC

Practice address

307 W Washington St
Brainerd, MN 56401-2923

Phone

(218) 821-6296

NPI assigned

Apr 19, 2022

Organization subpart

No

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

Authorized official

Name

Tiffany Conner, LMFTNPI 1568990927

Title

Owner

Phone

(701) 425-1457

Specialties & licenses 1

Addresses

Other names 1

• Faith Counseling and Wellness Doing business as

Practitioners 1

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

• Tiffany Marie Conner

  • Marriage & Family Therapist
  • Baxter, MN
  • NPI 1568990927
  NPD Authorized official

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1669115408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13696 STATE HIGHWAY 210",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564015728",
            "telephone_number": "701-425-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W WASHINGTON ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012923",
            "telephone_number": "218-821-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-425-1457",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Ann Erickson, APRN, CNP
• Dustin Ericson, LMFT
• Randa Ericson
• Diana Espana Neubauer, APRN,CNP
• Kelsi L Evans, RN, PMHNP
• Kendall Gregory Fancher, MD
• Kristy June Farley, MSW, LICSW
• Teresa Farrell
• Thea Marie Feierabend, DC
• Timothy Felegy, LADC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.