Active NPI
Benjamin Leander Guindon
- Professional Counselor
- Mendota Heights, MN
National Provider Identifier
1912645771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3323
- Practice address
- 1370 Mendota Heights Rd
Mendota Heights, MN 55120-1281 - Phone
- (651) 313-8080
- NPI assigned
- May 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3323 | MN | Primary |
Addresses
Primary practice location
1370 Mendota Heights Rd
Mendota Heights, MN 55120-1281
Mailing address
13734 Glenhurst LN
Savage, MN 55378-2649
Phone (651) 895-9826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1912645771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13734 GLENHURST LN",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553782649",
"telephone_number": "651-895-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 MENDOTA HEIGHTS RD",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201281",
"telephone_number": "651-313-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUINDON",
"first_name": "BENJAMIN",
"middle_name": "LEANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "3323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mendota Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.