Marketplace Counseling, PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

11987 Issued in MN

Legal business name

MARKETPLACE COUNSELING, PA

Practice address

110 2ND St S
Suite 304
Waite Park, MN 56387-1662

Phone

(320) 253-4080

NPI assigned

Apr 10, 2009

Organization subpart

No

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

Authorized official

Name

Steven Aleksander Gribas, MS, LICSW, LADC

Title

Psychotherapist

Phone

(320) 253-4080

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1952544629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 2ND ST S",
            "address_2": "SUITE 304",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871662",
            "telephone_number": "320-253-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST S",
            "address_2": "SUITE 304",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871662",
            "telephone_number": "320-253-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKETPLACE COUNSELING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "GRIBAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALEKSANDER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "320-253-4080",
        "authorized_official_credential": "MS, LICSW, LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "11987",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "300992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Lorain Malikowski
• Anna C Malikowski, OD
• Shelby Malmanger, RPH
• Makyia K Maloney, BCBA, LBA
• Fatou Manneh
• Hannah Marquis
• Jean Eleanor Marstein
• Madison Christine Martin
• Marissa A Martins
• Clarissa Masse

• Community/Behavioral Health Agency in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.