Organization Active NPI

Los Roques

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1801279385
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2518 Issued in MN
Legal business name
LOS ROQUES
Doing business as
Un Pueblito Counseling
Practice address
2424 18TH Ave S
Minneapolis, MN 55404-4006
Phone
(612) 306-9636
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Mrs. Carla Maldonado, LMFTNPI 1609215383
Title
Owner
Phone
(612) 306-9636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2518 MN Primary

Addresses

Primary practice location

2424 18TH Ave S
Minneapolis, MN 55404-4006

Mailing address

2424 18TH Ave S
Minneapolis, MN 55404-4006
Phone (612) 306-9636

Other names 1

  • Un Pueblito Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

2424 18th Ave S
Minneapolis, MN 55404
Phone (612) 306-9636

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1801279385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 18TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044006",
            "telephone_number": "612-306-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 18TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044006",
            "telephone_number": "612-306-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ROQUES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-306-9636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "2518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Un Pueblito Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.