Community Circles, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY CIRCLES, LLC

Practice address

104 W Superior St # 200
Duluth, MN 55802-3000

Phone

(218) 727-7353

Fax

(218) 727-2646

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Linda PetsoulisNPI 1598895591

Title

Director

Phone

(218) 727-7353

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Petsoulis, M.A., L.P.

  • Psychologist
  • Duluth, MN
  • NPI 1598895591
  NPD Authorized official
• Napoleon Petsoulis

  • Psychologist
  • Duluth, MN
  • NPI 1861145450
  NPD (past)

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1760945745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W SUPERIOR ST # 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558023000",
            "telephone_number": "218-727-7353",
            "fax_number": "218-727-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W SUPERIOR ST # 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558023000",
            "telephone_number": "218-727-7353",
            "fax_number": "218-727-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CIRCLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "PETSOULIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-727-7353"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "linda@duluthinstitute.com",
            "affiliation": "N",
            "address_1": "104 W Superior St # 200",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558023000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blake Ervin Collison, MD
• Brittany K Collver, RN
• Sophia Coltvet
• Ella Angelina Comeau
• Common Ground Speech Therapy
• Community Connection of Minnesota Inc
• Community Connection of MN, Inc.
• Community Diagnostics and Consultation, Inc
• Beth Ann Conley, APRN, CNP
• Christian Conner, RN, CRNA

• Community/Behavioral Health Agency in Duluth, MN
• Providers in Duluth, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.