MJ Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MJ COUNSELING, LLC

Practice address

1960 Cliff Lake Rd Ste 129-179
Eagan, MN 55122-2476

Phone

(651) 505-5349

NPI assigned

Jan 16, 2023

Last updated

Jan 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maryjo Melander, MSW, LICSWNPI 1770712713

Title

President

Phone

(651) 335-5548

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryjo Melander, LICSW

  • Social Worker
  • Eagan, MN
  • NPI 1770712713
  NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1952016768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 CLIFF LAKE RD STE 129-179",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222476",
            "telephone_number": "651-505-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 CLIFF LAKE RD STE 129-179",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222476",
            "telephone_number": "651-505-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "MELANDER",
        "authorized_official_first_name": "MARYJO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-335-5548",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Eagan, MN
• Providers in Eagan, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.