Organization Active NPI

Community Tree Counseling

  • Community/Behavioral Health Agency
  • Burnsville, MN
National Provider Identifier
1780094904
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1709 Issued in MN
Legal business name
COMMUNITY TREE COUNSELING
Practice address
1500 McAndrews Rd W Ste 222
Burnsville, MN 55337-4445
Phone
(612) 554-6069
NPI assigned
Apr 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Marissa Marie Mitchell
Title
Therapist
Phone
(612) 554-6069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1709 MN Primary

Addresses

Primary practice location

1500 McAndrews Rd W Ste 222
Burnsville, MN 55337-4445

Mailing address

13408 Aldrich Ave S
Burnsville, MN 55337-4388
Phone (612) 554-6069

National Provider Directory

National Provider Directory

Locations

1500 McAndrews Rd W
Ste 222
Burnsville, MN 55337
Phone (612) 554-6069

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1780094904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13408 ALDRICH AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374388",
            "telephone_number": "612-554-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W STE 222",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374445",
            "telephone_number": "612-554-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY TREE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "612-554-6069"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.