Organization Active NPI

Counseling and Therapeutic Support Services PLLC

  • Marriage & Family Therapist
  • Chanhassen, MN
National Provider Identifier
1831545771
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2272 Issued in MN
Legal business name
COUNSELING AND THERAPEUTIC SUPPORT SERVICES PLLC
Practice address
600 W 78TH St Ste 10I
Chanhassen, MN 55317-2601
Phone
(612) 702-1976
NPI assigned
May 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Mrs. Kathryn Marie-Wilker Barrett, MA, LMFTNPI 1386940351
Title
Ceo/Cfo
Phone
(612) 702-1976

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2272 MN Primary

Addresses

Primary practice location

600 W 78TH St Ste 10I
Chanhassen, MN 55317-2601

Mailing address

PO Box 477
Chanhassen, MN 55317-0477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201210001182 MN Part B Supplier - Clinic/Group Practice 1052723376 Receives reassigned benefits from 4 practitioners
Practice locations: Chanhassen, MN

National Provider Directory

National Provider Directory

Locations

600 W 78th St
Ste 10I
Chanhassen, MN 55317
Phone (612) 702-1976

600 W 78th St
Ste 10
Chanhassen, MN 55317
Phone (952) 405-9369

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1831545771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553170477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 78TH ST STE 10I",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553172601",
            "telephone_number": "612-702-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND THERAPEUTIC SUPPORT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARIE-WILKER",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "612-702-1976",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.