North Star Counseling & Mediation Services PSC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

08378 Issued in MN

Legal business name

NORTH STAR COUNSELING & MEDIATION SERVICES PSC

Practice address

3116 Fairview Ave North
Ste B
St Paul, MN 55113-1203

Phone

(651) 636-9100

Fax

(651) 634-3712

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Earl Nolting, LIC PSYCHOLOGIST LP

Title

Pres

Phone

(651) 636-9100

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1932207396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 FAIRVIEW AVE NORTH",
            "address_2": "STE B",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551131203",
            "telephone_number": "651-636-9100",
            "fax_number": "651-634-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 FAIRVIEW AVE NORTH",
            "address_2": "STE B",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551131203",
            "telephone_number": "651-636-9100",
            "fax_number": "651-634-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR COUNSELING & MEDIATION SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NOLTING",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "651-636-9100",
        "authorized_official_credential": "LIC PSYCHOLOGIST LP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LP0594",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "08378",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "0628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Star Health Alliance, LLC
• North Suburban Optical
• Northeast Dental, P.a.
• Northern Medical Supply Co.
• Northern Stars Home Care LLC

• All providers in St Paul, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.