Organization Active NPI

Family Connections Counseling Center LLC

  • Community/Behavioral Health Agency
  • Minnetonka, MN
National Provider Identifier
1811228133
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15568 Issued in MN
Legal business name
FAMILY CONNECTIONS COUNSELING CENTER LLC
Practice address
11608 Wayzata Blvd
Minnetonka, MN 55305-2009
Phone
(952) 544-0964
Fax
(952) 544-6405
NPI assigned
Jan 26, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Joyce Marie Arendt, LISCWNPI 1316028699
Title
Owner/President
Phone
(612) 716-2828

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

Practitioners 7

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20120726000448 MN Part B Supplier - Clinic/Group Practice 7517123136 Receives reassigned benefits from 3 practitioners
Practice locations: St Louis Park, MN

National Provider Directory

National Provider Directory

Locations

11708 Wayzata Blvd
Minnetonka, MN 55305
Phone (612) 845-0316

5891 Cedar Lake Rd S
St Louis Park, MN 55416
Phone (952) 544-0945

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15568 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

11608 Wayzata Blvd
Minnetonka, MN 55305-2009

Mailing address

11608 Wayzata Blvd
Minnetonka, MN 55305-2009
Phone (952) 544-0964

Other names 1

NPPES NPI Registry
  • Family Connections Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2010.

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1811228133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11608 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052009",
            "telephone_number": "952-544-0964",
            "fax_number": "952-544-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11608 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052009",
            "telephone_number": "952-544-0964",
            "fax_number": "952-544-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "ARENDT",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "612-716-2828",
        "authorized_official_credential": "LISCW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "15568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.