Active NPI
Life on Purpose Counseling & Neurofeedback Inc
- Clinical Social Worker
- Little Canada, MN
National Provider Identifier
1942708573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18463
- Legal business name
- LIFE ON PURPOSE COUNSELING & NEUROFEEDBACK INC
- Practice address
- 312 County Road D E
Little Canada, MN 55117-1275 - Phone
- (651) 600-7876
- NPI assigned
- Jan 29, 2018
- 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
- Dannielle Marie Fladten White, LICSW
- Title
- President/Psychotherapist
- Phone
- (651) 600-7876
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18463 | MN | Primary |
Addresses
Primary practice location
312 County Road D E
Little Canada, MN 55117-1275
Mailing address
312 County Road D E
Little Canada, MN 55117-1275
Phone (651) 600-7876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942708573 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
312 County Road D E
Saint Paul, MN 55117
Phone (651) 600-7876
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Little Canada, MN
- NPI 1114353174
-
- Clinical Social Worker
- Saint Paul, MN
- NPI 1700493137
-
- Clinical Social Worker
- Fergus Falls, MN
- NPI 1316368616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521936000000",
"number": "1942708573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 COUNTY ROAD D E",
"city": "LITTLE CANADA",
"state": "MN",
"postal_code": "551171275",
"telephone_number": "651-600-7876",
"fax_number": "651-705-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 COUNTY ROAD D E",
"city": "LITTLE CANADA",
"state": "MN",
"postal_code": "551171275",
"telephone_number": "651-600-7876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE ON PURPOSE COUNSELING & NEUROFEEDBACK INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-29",
"last_updated": "2018-03-25",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "DANNIELLE",
"authorized_official_middle_name": "MARIE FLADTEN",
"authorized_official_title_or_position": "PRESIDENT/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "651-600-7876",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "18463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942708573",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Canada, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2018; 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.