Organization Active NPI

Minnesota Counseling and Couples Center LLC

  • Community/Behavioral Health Agency
  • Maple Grove, MN
National Provider Identifier
1861764078
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1951 Issued in MN
Legal business name
MINNESOTA COUNSELING AND COUPLES CENTER LLC
Practice address
13700 83Rd Way N
Suite 201
Maple Grove, MN 55369-7015
Phone
(763) 400-7475
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Jennifer S Johnson, LMFT
Title
Owner
Phone
(763) 400-7475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1951 MN Primary

Addresses

Primary practice location

13700 83Rd Way N
Suite 201
Maple Grove, MN 55369-7015

Mailing address

13700 83Rd Way N
Suite 201
Maple Grove, MN 55369-7015
Phone (612) 281-4870

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1861764078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 83RD WAY N",
            "address_2": "SUITE 201",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697015",
            "telephone_number": "612-281-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 83RD WAY N",
            "address_2": "SUITE 201",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697015",
            "telephone_number": "763-400-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA COUNSELING AND COUPLES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-400-7475",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 9, 2024; 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.