Organization Active NPI

Koru Holistic Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
National Provider Identifier
1730672106
Registry record updated Mar 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KORU HOLISTIC COUNSELING
Practice address
314 Clifton Ave Ste 10
Minneapolis, MN 55403-3384
Phone
(612) 462-4775
Fax
(612) 314-8303
NPI assigned
Jun 11, 2018
Last updated
Mar 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2019

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

Authorized official

Name
Wendy Schulz, LICSWNPI 1669809174
Title
Psychotherapist
Phone
(612) 462-4775

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MN Primary

Addresses

Primary practice location

314 Clifton Ave Ste 10
Minneapolis, MN 55403-3384

Mailing address

5729 Bloomington Ave
Minneapolis, MN 55417-2642
Phone (612) 462-4775

National Provider Directory

National Provider Directory

Locations

314 Clifton Ave
Ste 10
Minneapolis, MN 55403
Phone (612) 333-1766

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552089600000",
    "number": "1730672106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172642",
            "telephone_number": "612-462-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CLIFTON AVE STE 10",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033384",
            "telephone_number": "612-462-4775",
            "fax_number": "612-314-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORU HOLISTIC COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2019-03-09",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "612-462-4775",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; 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.