Active NPI
Compassion Clinic Therapy Services PLLC
- Mental Health Counselor
- Minnetonka, MN
National Provider Identifier
1699454512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- COMPASSION CLINIC THERAPY SERVICES PLLC
- Practice address
- 2828 Jordan Ave S Apt 202
Minnetonka, MN 55305-3504 - Phone
- (651) 728-6400
- NPI assigned
- Jul 17, 2023
- 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
- Tyler Rekowski
- Title
- Owner/Professional Therapist
- Phone
- (651) 728-6400
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
2828 Jordan Ave S Apt 202
Minnetonka, MN 55305-3504
Mailing address
2828 Jordan Ave S Apt 202
Minnetonka, MN 55305-3504
Phone (651) 728-6400
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710547200000",
"number": "1699454512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 JORDAN AVE S APT 202",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053504",
"telephone_number": "651-728-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 JORDAN AVE S APT 202",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053504",
"telephone_number": "651-728-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSION CLINIC THERAPY SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-17",
"last_updated": "2024-03-16",
"certification_date": "2024-03-16",
"status": "A",
"authorized_official_last_name": "REKOWSKI",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "OWNER/PROFESSIONAL THERAPIST",
"authorized_official_telephone_number": "651-728-6400"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.