Organization Active NPI

Courageous Counseling LLC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1811717341
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COURAGEOUS COUNSELING LLC
Practice address
825 Nicollet Mall Ste 413
Minneapolis, MN 55402-2606
Phone
(612) 279-8503
NPI assigned
Oct 10, 2024
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Kaitlyn Valdez, MA, LPCNPI 1568188845
Title
Owner/Practioner
Phone
(612) 279-8503

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

825 Nicollet Mall Ste 413
Minneapolis, MN 55402-2606

Mailing address

241 Dayton Ave Apt 1
Saint Paul, MN 55102-3398
Phone (612) 279-8503

Other practice location 1

2701 W 106th Loop Unit B
Westminster, CO 80234-1953
Phone (575) 323-0439

Other identifiers 1

IdentifierTypeStateIssuer
1568188845OtherLPC

National Provider Directory

National Provider Directory

Locations

825 Nicollet Mall
Ste 413
Minneapolis, MN 55402
Phone (612) 279-8503

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": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1811717341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 DAYTON AVE APT 1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023398",
            "telephone_number": "612-279-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 413",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-279-8503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 W 106th Loop Unit B",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802341953",
            "country_code": "US",
            "telephone_number": "575-323-0439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COURAGEOUS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "612-279-8503",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "1568188845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 2024; 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.