Indigenous Circles Counseling Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INDIGENOUS CIRCLES COUNSELING CENTER

Practice address

12000 Elm Creek Blvd N Ste L70
Maple Grove, MN 55369-7167

Phone

(612) 910-7194

NPI assigned

Mar 5, 2018

Last updated

Mar 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Felix Raymond Montez, LPCC, LADC

Title

Ceo

Phone

(612) 910-7194

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1720580814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18655",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554180655",
            "telephone_number": "612-910-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N STE L70",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697167",
            "telephone_number": "612-910-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGENOUS CIRCLES COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "MONTEZ",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-910-7194",
        "authorized_official_credential": "LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Hydukovich, LPCC, LADC
• Caitlin Icart
• Jessica Idahor, DNP, APRN, FNP-C
• Sarah Igl
• Kelly R Ihry, C.N.P.
• Infinite Health Collaborative, PA
• Innovative Psychological Consultants, LLC
• Integrated Nursing & Health Services Inc.
• Interventional Spine and Pain Physicians, PA
• Intuit Corporation (Intuit Home Care)

• Adult Mental Health Clinic/Center in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.