Individual provider Active NPI

Joseph Lee Malhoit III, LPCC

  • Professional Counselor
  • Maplewood, MN
National Provider Identifier
1942077821
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC04140 Issued in MN
Practice address
2365 Ariel St N
Maplewood, MN 55109-2248
Phone
(715) 386-7672
NPI assigned
Dec 11, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC04140 MN Primary

Addresses

Primary practice location

2365 Ariel St N
Maplewood, MN 55109-2248

Mailing address

986 Inspiration Pkwy N
Bayport, MN 55003-1613
Phone (715) 386-7672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229001163 MN Practitioner - Mental Health Counselor 2264882406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Teen Challenge, IncGroup PAC ID 0840656856, 22 clinicians

Practice addresses (Care Compare)

2365 Ariel St N
Maplewood, MN 55109-2248
Phone (612) 373-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC04140MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Teen Challenge, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

2756 Douglas Dr N
Minneapolis, MN 55422
Phone (763) 544-9126

740 E 24th St
Minneapolis, MN 55404
Phone (612) 238-6491

2365 Ariel St N
Saint Paul, MN 55109
Phone (612) 777-8987

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1942077821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 INSPIRATION PKWY N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031613",
            "telephone_number": "715-386-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 ARIEL ST N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092248",
            "telephone_number": "715-386-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOIT",
        "first_name": "JOSEPH",
        "middle_name": "LEE",
        "name_suffix": "III",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC04140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.