Organization Active NPI

Mind and Body Counseling

  • Marriage & Family Therapist
  • Little Falls, MN
National Provider Identifier
1912752403
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Stephanie LockenNPI 1750855227
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20241209003128 MN Part B Supplier - Clinic/Group Practice 0648706044 Receives reassigned benefits from 1 practitioner
Practice locations: Little Falls, MN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.