Organization Active NPI

New Concept Counseling L.L.C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodbury, MN
National Provider Identifier
1942756309
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2836 Issued in MN
Legal business name
NEW CONCEPT COUNSELING L.L.C
Practice address
6043 Hudson Rd Ste 399J
Woodbury, MN 55125-1028
Phone
(612) 599-6396
Fax
(165) 156-0794
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Dr. Christopher Adesoji Falade, DMFT LMFTNPI 1932490224
Title
Owner/Therapist
Phone
(612) 599-6396

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2836 MN Primary

Addresses

Primary practice location

6043 Hudson Rd Ste 399J
Woodbury, MN 55125-1028

Mailing address

1240 Donegal Dr
Woodbury, MN 55125-2390
Phone (612) 599-6396

Other identifiers 1

IdentifierTypeStateIssuer
1932490224OtherMNNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240725004380 MN Part B Supplier - Clinic/Group Practice 9335685304 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, MN

National Provider Directory

National Provider Directory

Locations

6043 Hudson Rd
Ste 399J
Woodbury, MN 55125
Phone (612) 599-6396

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": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1942756309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 DONEGAL DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252390",
            "telephone_number": "612-599-6396",
            "fax_number": "165-156-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 HUDSON RD STE 399J",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251028",
            "telephone_number": "612-599-6396",
            "fax_number": "165-156-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CONCEPT COUNSELING L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "FALADE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ADESOJI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "612-599-6396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "2836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932490224",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.