Active NPI
Counseling & Assessment Center, Inc
- Community/Behavioral Health Agency
- Isanti, MN
National Provider Identifier
1851618557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CC00037
- Legal business name
- COUNSELING & ASSESSMENT CENTER, INC
- Practice address
- 105 W Main St.
Isanti, MN 55040 - Phone
- (763) 377-3270
- Fax
- (763) 452-0331
- NPI assigned
- Apr 21, 2010
- Last updated
- Nov 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jacqueline A Bleess, LPCC, LADC,CCDP-D
- Title
- President
- Phone
- (763) 377-3270
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | CC00037 | MN | Primary |
Addresses
Primary practice location
105 W Main St.
Isanti, MN 55040
Mailing address
33945 University Ave NE
Cambridge, MN 55008
Phone (763) 377-3270
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Counselor
- Isanti, MN
- NPI 1790002491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638230400000",
"number": "1851618557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33945 UNIVERSITY AVE NE",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "55008",
"telephone_number": "763-377-3270",
"fax_number": "763-452-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W MAIN ST.",
"city": "ISANTI",
"state": "MN",
"postal_code": "55040",
"telephone_number": "763-377-3270",
"fax_number": "763-452-0331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING & ASSESSMENT CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A",
"authorized_official_last_name": "BLEESS",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "763-377-3270",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPCC, LADC,CCDP-D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "CC00037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isanti, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.