Organization Active NPI

Meadowlark Counseling and Wellness, PLLC

  • Professional Counselor
  • Maple Grove, MN
National Provider Identifier
1831781723
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MEADOWLARK COUNSELING AND WELLNESS, PLLC
Practice address
18904 Gladstone Blvd N
Maple Grove, MN 55311-1134
Phone
(303) 641-4828
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Jennifer Hocum Atherton, LPCCNPI 1477885184
Title
Owner
Phone
(303) 641-4828

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

18904 Gladstone Blvd N
Maple Grove, MN 55311-1134

Mailing address

18904 Gladstone Blvd N
Maple Grove, MN 55311-1134
Phone (303) 641-4828

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jen@meadowlarkcounselingmn.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1831781723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18904 GLADSTONE BLVD N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111134",
            "telephone_number": "303-641-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18904 GLADSTONE BLVD N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111134",
            "telephone_number": "303-641-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLARK COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "ATHERTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HOCUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-641-4828",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jen@meadowlarkcounselingmn.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18904 Gladstone Blvd N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553111134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.