Individual provider Active NPI

Christine Lindholm, LPCC, LADC

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1780422030
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4428 Issued in MN
Practice address
1646 Selby Ave Apt 4
Saint Paul, MN 55104-6270
Phone
(651) 260-2282
NPI assigned
Jul 19, 2024
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305915 MN
Professional Counselor 101YP2500X 4428 MN Primary

Addresses

Primary practice location

1646 Selby Ave Apt 4
Saint Paul, MN 55104-6270

Mailing address

1646 Selby Ave Apt 4
Saint Paul, MN 55104-6270
Phone (651) 260-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325000553 MN Practitioner - Mental Health Counselor 4082198387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ainga Mental Health and Consulting LLCGroup PAC ID 9032583133, 7 clinicians

Practice addresses (Care Compare)

7203 Perry CT E
Brooklyn Center, MN 55429-1202
Phone (612) 540-0643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305915MNMDAddiction (Substance Use Disorder) Counselor
4428MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ainga Mental Health and Consulting LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1780422030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 SELBY AVE APT 4",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046270",
            "telephone_number": "651-260-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 SELBY AVE APT 4",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046270",
            "telephone_number": "651-260-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDHOLM",
        "first_name": "CHRISTINE",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305915",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.