NPIMap

Organization Active NPI

Novare Counseling Center, P. a.

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1912394099
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC07 Issued in MN
Legal business name
NOVARE COUNSELING CENTER, P. A.
Practice address
871 Jefferson Ave
Saint Paul, MN 55102-2506
Phone
(612) 424-9983
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Daniel J StokmanNPI 1356490890
Title
President
Phone
(612) 424-9983

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X CC07 MN Primary

Addresses

Primary practice location

871 Jefferson Ave
Saint Paul, MN 55102-2506

Mailing address

557 7TH St W
Saint Paul, MN 55102-3065
Phone (651) 587-1807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240719000477 MN Part B Supplier - Clinic/Group Practice 3678019296 Receives reassigned benefits from 5 practitioners
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

557 7th St W
Saint Paul, MN 55102
Phone (651) 234-0891

Practitioners & affiliated clinicians

Practitioners 8

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": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1912394099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023065",
            "telephone_number": "651-587-1807"
        },
        {
            "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": "612-424-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVARE COUNSELING CENTER, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "STOKMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-424-9983"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC07",
            "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 May 21, 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.