Organization Active NPI

Northwoods Counseling Center LLC

  • Psychologist
  • Duluth, MN
National Provider Identifier
1740669704
Registry record updated May 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP 5762 Issued in MN
Legal business name
NORTHWOODS COUNSELING CENTER LLC
Practice address
324 W Superior St
Suite 911
Duluth, MN 55802-1701
Phone
(218) 591-2978
Fax
(218) 585-1410
NPI assigned
May 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2015

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

Authorized official

Name
Nancy Swedlund, PSY.D.
Title
Manager
Phone
(218) 591-2978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X LP 5762 MN Primary

Addresses

Primary practice location

324 W Superior St
Suite 911
Duluth, MN 55802-1701

Mailing address

2229 W 11TH St
Duluth, MN 55806-1201
Phone (218) 591-2978

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432339200000",
    "number": "1740669704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 W 11TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558061201",
            "telephone_number": "218-591-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST",
            "address_2": "SUITE 911",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021701",
            "telephone_number": "218-591-2978",
            "fax_number": "218-585-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-23",
        "last_updated": "2015-05-23",
        "status": "A",
        "authorized_official_last_name": "SWEDLUND",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "218-591-2978",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 5762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2015; 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.