Active NPI
Megan Gingo Counseling, PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Louis Park, MN
National Provider Identifier
1699265470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 21659
- Legal business name
- MEGAN GINGO COUNSELING, PLLC
- Practice address
- 3340 Republic Ave
St Louis Park, MN 55426-4154 - Phone
- (612) 444-1740
- NPI assigned
- May 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Gingo, LICSW
- Title
- Owner
- Phone
- (312) 330-8416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 21659 | MN | Primary |
Addresses
Primary practice location
3340 Republic Ave
St Louis Park, MN 55426-4154
Mailing address
3340 Republic Ave
St Louis Park, MN 55426-4154
Phone (612) 444-1740
National Provider Directory
National Provider DirectoryLocations
3340 Republic Ave
St Louis Park, MN 55426
Phone (612) 444-1740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526428800000",
"number": "1699265470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 REPUBLIC AVE",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264154",
"telephone_number": "612-444-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 REPUBLIC AVE",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264154",
"telephone_number": "612-444-1740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEGAN GINGO COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A",
"authorized_official_last_name": "GINGO",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-330-8416",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "MN",
"license": "21659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.