NPIMap

Organization Active NPI

Mental Health Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1679717524
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MENTAL HEALTH COUNSELING SERVICES, LLC
Practice address
615 1St Ave NE
Suite 310
Minneapolis, MN 55413-2419
Phone
(612) 436-0295
Fax
(612) 436-0163
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Vicki Dean-Gramlich, APRN, PMHCNS-BCNPI 1356671010
Title
President
Phone
(612) 436-0295

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X

Addresses

Primary practice location

615 1St Ave NE
Suite 310
Minneapolis, MN 55413-2419

Mailing address

615 1St Ave NE
Suite 310
Minneapolis, MN 55413-2419
Phone (612) 436-0295

Other practice location 1

38880 Oakview Ave Ste 3
North Branch, MN 55056-7101
Phone (612) 436-0295

Other practice location 2

11334 86th Ave N
Maple Grove, MN 55369-4528
Phone (763) 255-2125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090713000471 MN Part B Supplier - Clinic/Group Practice 3173675790 Receives reassigned benefits from 25 practitioners
Practice locations: Maple Grove, MN; Minneapolis, MN; North Branch, MN

National Provider Directory

National Provider Directory

Locations

7901 12th Ave S
Bloomington, MN 55425

350 Little Canada Rd E
Little Canada, MN 55117

11334 86th Ave N
Maple Grove, MN 55369
Phone (763) 255-2125

140 2nd Ave NE
Milaca, MN 56353

1500 Fillmore St NE
#150
Minneapolis, MN 55413

38880 Oakview Ave
Ste 3
North Branch, MN 55056

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1679717524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 1ST AVE NE",
            "address_2": "SUITE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132419",
            "telephone_number": "612-436-0295",
            "fax_number": "612-436-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 1ST AVE NE",
            "address_2": "SUITE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132419",
            "telephone_number": "612-436-0295",
            "fax_number": "612-436-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38880 Oakview Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "North Branch",
            "state": "MN",
            "postal_code": "550567101",
            "country_code": "US",
            "telephone_number": "612-436-0295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11334 86th Ave N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694528",
            "country_code": "US",
            "telephone_number": "763-255-2125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL HEALTH COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "DEAN-GRAMLICH",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-436-0295",
        "authorized_official_credential": "APRN, PMHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.