Individual provider Active NPI

Abbey Pauline Giller Rathe, LPCC

  • Professional Counselor
  • St Louis Park, MN
National Provider Identifier
1700558277
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3028 Issued in MN
Practice address
3340 Republic Ave Ste 110
St Louis Park, MN 55426-4189
Phone
(952) 209-1510
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3028 MN
Professional Counselor 101YP2500X 3028 MN Primary

Addresses

Primary practice location

3340 Republic Ave Ste 110
St Louis Park, MN 55426-4189

Mailing address

17661 69TH PL N
Maple Grove, MN 55311-3027
Phone (402) 630-6124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 13, 2024 through Sep 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3028MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Novo Behavioral Health, LLC Professional CurrentSince Oct 21, 2025 Accepting new patients

Locations

3340 Republic Ave
Ste 110
St Louis Park, MN 55426
Phone (952) 209-1510

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1700558277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17661 69TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113027",
            "telephone_number": "402-630-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 REPUBLIC AVE STE 110",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264189",
            "telephone_number": "952-209-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLER RATHE",
        "first_name": "ABBEY",
        "middle_name": "PAULINE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3028",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.