Organization Active NPI

The Healing Place LLC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1902593676
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE HEALING PLACE LLC
Practice address
871 Jefferson Ave
Saint Paul, MN 55102-2506
Phone
(651) 252-1175
NPI assigned
Apr 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Ms. Vicenta D Valero-Jarozewski, LPCCNPI 1013661123
Title
Owner / LPCC
Phone
(651) 252-1175

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

871 Jefferson Ave
Saint Paul, MN 55102-2506

Mailing address

702 Van Buren Ave
Saint Paul, MN 55104-1660
Phone (651) 252-1175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241113003137 MN Part B Supplier - Clinic/Group Practice 8022542018 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

413 Wacouta St
Ste 35010
Saint Paul, MN 55101

871 Jefferson Ave
Ste D
Saint Paul, MN 55102
Phone (651) 252-1175

Practitioners & affiliated clinicians

Practitioners 1

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": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1902593676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 VAN BUREN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041660",
            "telephone_number": "651-252-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 JEFFERSON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022506",
            "telephone_number": "651-252-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "VALERO-JAROZEWSKI",
        "authorized_official_first_name": "VICENTA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / LPCC",
        "authorized_official_telephone_number": "651-252-1175",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.