Monarch Counseling Collaborative PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MONARCH COUNSELING COLLABORATIVE PA

Practice address

21308 John Milless Dr Ste 206
Rogers, MN 55374-4870

Phone

(763) 445-9758

NPI assigned

Jul 8, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denae Reanne Kuenzel, PSYD, LP, RD, LDNPI 1033446331

Title

Licensed Psychologist

Phone

(763) 445-9758

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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.

• Denae R Kuenzel, PSYD, LP

  • Counseling Psychologist
  • Elk River, MN
  • NPI 1033446331
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1801632096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21308 JOHN MILLESS DR STE 206",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744870",
            "telephone_number": "763-445-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21308 JOHN MILLESS DR STE 206",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744870",
            "telephone_number": "763-445-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH COUNSELING COLLABORATIVE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "KUENZEL",
        "authorized_official_first_name": "DENAE",
        "authorized_official_middle_name": "REANNE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "763-445-9758",
        "authorized_official_credential": "PSYD, LP, RD, LD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033446331",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Koren Miller, NP
• Mind Sparks L. L. C.
• Justin Robert Moe
• Hafsa Kadid Mohamed
• Maryam Oluwadamilola Mohammed
• Tiffany Moriarity, D.P.T.
• Jamie Mosley, MS, LPC
• Brooke Alexandra Stein Moss, PA-C
• Ann M Murphy, PT
• Alicia Niemann

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rogers, MN
• Providers in Rogers, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.