Epona Counseling Center LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

00015 Issued in MN

Legal business name

EPONA COUNSELING CENTER LLC

Practice address

220 Ashland St S
Cambridge, MN 55008-1542

Phone

(612) 390-6232

Fax

(763) 689-9755

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Dawn Lundstrom Brennan, LPC

Title

Owner

Phone

61239906232

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1801077417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ASHLAND ST S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081542",
            "telephone_number": "612-390-6232",
            "fax_number": "763-689-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ASHLAND ST S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081542",
            "telephone_number": "612-390-6232",
            "fax_number": "763-689-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPONA COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "LUNDSTROM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "61239906232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rejeana C Ebert
• Paula Anne Eilertson, RD LD
• Jenna Emerson
• Emilie Englund
• Kaylee Enos
• Barbara Olivia Erickson, M.A.L.P.
• Hannah Lillette Iris Erickson
• Sarah Erickson
• Alaina F Everitt, PHD
• Jasmine Avory Faddler

• Professional Counselor in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.