Organization Active NPI

Grace Counseling Center

  • Professional Counselor
  • Saint Cloud, MN
National Provider Identifier
1679806830
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC00366 Issued in MN
Legal business name
GRACE COUNSELING CENTER
Practice address
2700 1St St N
#209
Saint Cloud, MN 56303-4256
Phone
(320) 202-9107
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Barbara Gay Backes, LPC, P.A., M.S.
Title
Owner
Phone
(320) 202-9107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC00366 MN Primary

Addresses

Primary practice location

2700 1St St N
#209
Saint Cloud, MN 56303-4256

Mailing address

2700 1St St N
#209
Saint Cloud, MN 56303-4256
Phone (320) 202-9107

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1679806830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 1ST ST N",
            "address_2": "#209",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034256",
            "telephone_number": "320-202-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 1ST ST N",
            "address_2": "#209",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034256",
            "telephone_number": "320-202-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "BACKES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-202-9107",
        "authorized_official_credential": "LPC, P.A., M.S."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "LPC00366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.