Organization Active NPI

Advanced Counseling, LLC

  • Mental Health Counselor
  • Plymouth, MN
National Provider Identifier
1801544721
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ADVANCED COUNSELING, LLC
Practice address
2415 Annapolis LN N Ste 130
Plymouth, MN 55441-3632
Phone
(763) 458-6890
NPI assigned
Mar 10, 2022
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Ms. Katelyn Nicole Hyduke, LPCCNPI 1750960068
Title
Partner
Phone
(763) 760-0464

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

2415 Annapolis LN N Ste 130
Plymouth, MN 55441-3632

Mailing address

2415 Annapolis LN N Ste 130
Plymouth, MN 55441-3632
Phone (763) 486-2768

National Provider Directory

National Provider Directory

Locations

13895 Industrial Park Blvd
Ste 140
Plymouth, MN 55441
Phone (763) 559-5677

2415 Annapolis Ln N
Ste 107
Plymouth, MN 55441

2415 Annapolis Ln N
Ste 130
Plymouth, MN 55441
Phone (612) 701-6094

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1801544721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 ANNAPOLIS LN N STE 130",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413632",
            "telephone_number": "763-486-2768",
            "fax_number": "763-645-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 ANNAPOLIS LN N STE 130",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413632",
            "telephone_number": "763-458-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "HYDUKE",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "763-760-0464",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.