Fern Counseling PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

FERN COUNSELING PLLC

Practice address

3947 Excelsior Blvd
Minneapolis, MN 55416-4755

Phone

(763) 222-5327

Fax

(612) 223-5633

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Kelly FernNPI 1891240867

Title

Owner

Phone

(612) 226-6156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

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

• Kelly Fern

  • Marriage & Family Therapist
  • Apple Valley, MN
  • NPI 1891240867
  Medicare reassignment NPD Authorized official
• Bradley Allen Fern, MA

  • Marriage & Family Therapist
  • Hastings, MN
  • NPI 1891136289
  Medicare reassignment NPD
• Elaina Marie Vig, LICSW

  • Clinical Social Worker
  • Saint Louis Park, MN
  • NPI 1023774197
  Medicare reassignment NPD
• Elijah Wood, DSW, MSW, LICSW

  • Clinical Social Worker
  • Rosemount, MN
  • NPI 1235831322
  Medicare reassignment

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1790356186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 EWING AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101053",
            "telephone_number": "763-222-5327",
            "fax_number": "612-223-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 EXCELSIOR BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164755",
            "telephone_number": "763-222-5327",
            "fax_number": "612-223-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "FERN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-226-6156"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Ferdinand
• Bar Ferents, MD
• Sinta Fergus
• Chanel Leigh Ferguson, PA-C
• Katrina Hope Ferguson, MA, LPCC, LADC
• Elizabeth Fernander
• Andyrose Chimwemwe Fernandes, PHARMD
• Eduardo Tavora Fernandes, M.D.
• Nisha Fernandes
• Aisha Fernandez

• Marriage & Family Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.