Active NPI
Family Connections Counseling Center LLC
- Community/Behavioral Health Agency
- Minnetonka, MN
National Provider Identifier
1811228133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 15568
- 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, LISCW
- 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.
-
- Clinical Psychologist
- Champlin, MN
- NPI 1619411865
-
- Clinical Social Worker
- Minnetonka, MN
- NPI 1417223371
-
- Clinical Social Worker
- Woodbury, MN
- NPI 1205092277
-
- Clinical Social Worker
- Minnetonka, MN
- NPI 1801148366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 15568 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.