Active NPI
Mind and Body Counseling
- Marriage & Family Therapist
- Little Falls, MN
National Provider Identifier
1912752403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- MIND AND BODY COUNSELING
- Practice address
- 15088 22ND Ave NE Ste 2
Little Falls, MN 56345-3634 - Phone
- (320) 630-2782
- Fax
- (888) 892-4587
- NPI assigned
- Apr 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Locken
- Title
- Owner
- Phone
- (320) 630-2782
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
15088 22ND Ave NE Ste 2
Little Falls, MN 56345-3634
Mailing address
6568 230TH St
Randall, MN 56475-2414
Phone (320) 630-2782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15088 22nd Ave NE
Ste 2
Little Falls, MN 56345
Phone (320) 630-2782
15088 22nd Ave NE
Little Falls, MN 56345
Phone (320) 360-6898
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Little Falls, MN
- NPI 1750855227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1912752403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6568 230TH ST",
"city": "RANDALL",
"state": "MN",
"postal_code": "564752414",
"telephone_number": "320-630-2782",
"fax_number": "888-892-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15088 22ND AVE NE STE 2",
"city": "LITTLE FALLS",
"state": "MN",
"postal_code": "563453634",
"telephone_number": "320-630-2782",
"fax_number": "888-892-4587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND AND BODY COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-18",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "LOCKEN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "320-630-2782"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.