Crow River Counseling LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

LICSW 11618 Issued in MN

Legal business name

CROW RIVER COUNSELING LLC

Practice address

1200 Highway 25 N
Suite 108
Buffalo, MN 55313-2930

Phone

(763) 682-2011

Fax

(763) 682-2165

NPI assigned

Dec 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Thomas E Daniel, MSW, LICSW

Title

Therapist

Phone

(763) 682-2011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1760710685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 25 N",
            "address_2": "SUITE 108",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132930",
            "telephone_number": "763-682-2011",
            "fax_number": "763-682-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 25 N",
            "address_2": "SUITE 108",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132930",
            "telephone_number": "763-682-2011",
            "fax_number": "763-682-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROW RIVER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "763-682-2011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MN",
            "license": "LICSW 11618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather J. Crabtree, PH.D.
• Jason Schooler Crane
• Michelle Marty Crawford, DC
• Erica Rose Creighton, LICSW
• Wade D Crews, FNP-C
• Dakota Communities Inc
• Gina Daniels, M.S.
• Mary Danielson
• Patricia Davison, RN
• Christine Ann Dawson, LICSW, LIMHP

• Point of Service in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Point of Service in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.