Gratia Counseling & Consulting, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GRATIA COUNSELING & CONSULTING, LLC

Practice address

2705 Bunker Lake Blvd NW Ste 103
Andover, MN 55304-3786

Phone

(763) 333-1553

Fax

(612) 999-1993

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Brooke Fleming, MS, LMFTNPI 1073769667

Title

President

Phone

(763) 333-1553

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brooke Ann Fleming, MS, LMFT

  • Mental Health Counselor
  • Andover, MN
  • NPI 1073769667
  NPD Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1851991160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 151ST AVE NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044624",
            "telephone_number": "763-333-1553",
            "fax_number": "612-999-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 BUNKER LAKE BLVD NW STE 103",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043786",
            "telephone_number": "763-333-1553",
            "fax_number": "612-999-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATIA COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-333-1553",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Areen Mahrya Goraya, MD
• Jennie Marie Graff-Dolezal, M.S. LMFT
• Mariah Grams
• Grand St Paul CVS LLC (CVS Pharmacy #17118)
• Grand St Paul CVS LLC (CVS Pharmacy #07110)
• Rachel Grimm
• Kathryn Eileen Grimsby, MOTR/L
• Kimberlee B Gross, M.A., CCC
• Group Health, Inc. (HealthPartners)
• Group Health, Inc. (Riverway - Andover Clinic)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Andover, MN
• Providers in Andover, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.