Organization Active NPI

Guiding Star Psychological Services LLC

  • Clinical Psychologist
  • Plymouth, MN
National Provider Identifier
1841182284
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GUIDING STAR PSYCHOLOGICAL SERVICES LLC
Practice address
3390 Annapolis LN N Ste C
Plymouth, MN 55447-5379
Phone
(763) 284-6369
NPI assigned
Jul 18, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Nicole TeskeNPI 1184398778
Title
President
Phone
(763) 284-6369

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

3390 Annapolis LN N Ste C
Plymouth, MN 55447-5379

Mailing address

3390 Annapolis LN N Ste C
Plymouth, MN 55447-5379
Phone (763) 284-6369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260106000830 MN Part B Supplier - Clinic/Group Practice 7618463050 Receives reassigned benefits from 2 practitioners
Practice locations: Plymouth, MN

National Provider Directory

National Provider Directory

Locations

3390 Annapolis Ln N
Ste C
Plymouth, MN 55447
Phone (763) 284-6369

Practitioners & affiliated clinicians

Practitioners 2

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": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1841182284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 ANNAPOLIS LN N STE C",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475379",
            "telephone_number": "763-284-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 ANNAPOLIS LN N STE C",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475379",
            "telephone_number": "763-284-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING STAR PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-19",
        "status": "A",
        "authorized_official_last_name": "TESKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-284-6369"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.