Organization Active NPI

Dockside Counseling PLLC

  • Mental Health Counselor
  • Alexandria, MN
National Provider Identifier
1740169044
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DOCKSIDE COUNSELING PLLC
Practice address
2211 Springdale NE
Alexandria, MN 56308-8580
Phone
(320) 527-9547
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Nicholas Larsen, MS, LPCCNPI 1659170090
Title
Owner
Phone
(320) 527-9547

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2211 Springdale NE
Alexandria, MN 56308-8580

Mailing address

202 N Cedar Ave Ste 1
Owatonna, MN 55060-2306
Phone (320) 527-9547

National Provider Directory

National Provider Directory

Practitioners & 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": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1740169044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N CEDAR AVE STE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602306",
            "telephone_number": "320-527-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 SPRINGDALE NE",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563088580",
            "telephone_number": "320-527-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCKSIDE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-527-9547",
        "authorized_official_credential": "MS, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.