Cummins Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CUMMINS COUNSELING LLC

Practice address

1529 Sherwood Way
Eagan, MN 55122-2732

Phone

(612) 440-1482

NPI assigned

Oct 20, 2021

Last updated

Oct 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mira Cummins, MSW, LICSW, PMH-CNPI 1922381516

Title

Owner

Phone

(612) 440-1482

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mira Elton Rose Cummins, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1922381516
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1912660671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 SHERWOOD WAY",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222732",
            "telephone_number": "612-440-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 SHERWOOD WAY",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222732",
            "telephone_number": "612-440-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMMINS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-440-1482",
        "authorized_official_credential": "MSW, LICSW, PMH-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.miracummins.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1529 Sherwood Way",
            "city": "Eagan",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551222732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krystan A Coyle, DPT, MBA, OCS
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• Clinical Social Worker in Eagan, MN
• Providers in Eagan, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.