Cedar Forest Christian Counseling Clinic

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3746 Issued in MN

Legal business name

CEDAR FOREST CHRISTIAN COUNSELING CLINIC

Practice address

5100 Edina Industrial Blvd
Suite#231C
Edina, MN 55439-3000

Phone

(612) 240-4203

NPI assigned

Oct 2, 2010

Last updated

Oct 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Quintela-Smith, M.A., L.P.NPI 1407068315

Title

Licensed Psychologist

Phone

(612) 240-4203

Specialties & licenses 1

Addresses

Locations

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.

• Rebecca Quintela-Smith, M.A.

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1407068315
  Authorized official Same address or phone

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285977600000",
    "number": "1841509247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 EDINA INDUSTRIAL BLVD",
            "address_2": "SUITE#231C",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393000",
            "telephone_number": "612-240-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 EDINA INDUSTRIAL BLVD",
            "address_2": "SUITE#231C",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393000",
            "telephone_number": "612-240-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR FOREST CHRISTIAN COUNSELING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-02",
        "last_updated": "2010-10-02",
        "status": "A",
        "authorized_official_last_name": "QUINTELA-SMITH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-240-4203",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., L.P."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Casterton, MOT OTRL
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• Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2010; 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.