Organization Active NPI

Heart of the City Counseling, Inc

Doing business as The Therapy Shop

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1760670087
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1228 Issued in MN
Legal business name
HEART OF THE CITY COUNSELING, INC
Doing business as
The Therapy Shop
Practice address
125 SE Main Street
Suite 330
Minneapolis, MN 55414
Phone
(952) 808-1400
Fax
(952) 808-1400
NPI assigned
Oct 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kristin Aydt, LMFT
Title
LMFT/Owner
Phone
(952) 808-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1228 MN Primary

Addresses

Primary practice location

125 SE Main Street
Suite 330
Minneapolis, MN 55414

Mailing address

760 Southcross Dr W
Suite 103
Burnsville, MN 55306
Phone (952) 808-1400

Other identifiers 3

IdentifierTypeStateIssuer
742647000OtherMNMA #
C05925OtherMEDICARE
1228OtherMNLMFT LICENSE #

Other names 1

  • The Therapy Shop Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111018000703 MN Part B Supplier - Clinic/Group Practice 1951573880 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Burnsville, MN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Heart of the City Counseling Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 SE Main St
Ste 330
Minneapolis, MN 55414
Phone (952) 808-1400

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": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760670087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SOUTHCROSS DR W",
            "address_2": "SUITE 103",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55306",
            "telephone_number": "952-808-1400",
            "fax_number": "952-808-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SE MAIN STREET",
            "address_2": "SUITE 330",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55414",
            "telephone_number": "952-808-1400",
            "fax_number": "952-808-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF THE CITY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AYDT",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "LMFT/OWNER",
        "authorized_official_telephone_number": "952-808-1400",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA #",
            "identifier": "742647000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C05925",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT LICENSE #",
            "identifier": "1228",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Therapy Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.