Joan Plaisance, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC02161 Issued in MN

Practice address

14300 Nicollet CT Ste 130
Burnsville, MN 55306-3422

Phone

(952) 435-8814

Fax

(952) 435-7705

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1679121263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT STE 130",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553063422",
            "telephone_number": "952-435-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT STE 130",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553063422",
            "telephone_number": "952-435-8814",
            "fax_number": "952-435-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAISANCE",
        "first_name": "JOAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MN",
            "license": "R78605-2",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.midwestcenter4u.com",
            "affiliation": "N",
            "address_1": "14300 Nicollet Ct Ste 130",
            "city": "Burnsville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553063422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.