Greenway Counseling LLC

Key facts

NPI

1912538554

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

GREENWAY COUNSELING LLC

Practice address

372 Greenway Dr
Delano, MN 55328-4571

Phone

(612) 568-6161

NPI assigned

Feb 2, 2020

Organization subpart

No

Authorized official

Name

Melissa Spicer NPI 1598282477

Title

LPCC/Owner

Phone

(612) 839-6212

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Melissa Lynn Spicer Mental Health Counselor · Delano, MN · NPI 1598282477
  NPD Authorized official MENTAL HEALTH

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Melissa Spicer Counseling & Wellness Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 15, 2020.

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584230400000",
    "number": "1912538554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 GREENWAY DR",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553284571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 GREENWAY DR",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553284571",
            "telephone_number": "612-568-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-02",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LPCC/OWNER",
        "authorized_official_telephone_number": "612-839-6212"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598282477",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Spicer Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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