Abc Family Counseling, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP-0869 Issued in MN

Legal business name

ABC FAMILY COUNSELING, INC.

Practice address

229 Jackson St
Suite 136
Anoka, MN 55303-2254

Phone

(763) 227-8076

Fax

(763) 421-7892

NPI assigned

Dec 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert N Wilson, PHDNPI 1356406011

Title

President

Phone

(763) 227-8076

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Robert Nicholi Wilson, PHD

  • Psychologist
  • Anoka, MN
  • NPI 1356406011
  NPD Authorized official

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1710042486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 JACKSON ST",
            "address_2": "SUITE 136",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032254",
            "telephone_number": "763-227-8076",
            "fax_number": "763-421-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 JACKSON ST",
            "address_2": "SUITE 136",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032254",
            "telephone_number": "763-227-8076",
            "fax_number": "763-421-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-227-8076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP-0869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  CLINIC",
            "identifier": "8L408WI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Anoka, MN
• Providers in Anoka, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.