Organization Active NPI

New Directions Counseling Center, LLC

  • Clinical Psychologist
  • Faribault, MN
National Provider Identifier
1972020154
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP0411 Issued in MN
Legal business name
NEW DIRECTIONS COUNSELING CENTER, LLC
Practice address
303 1St Ave NE Ste 220
Faribault, MN 55021-5244
Phone
(507) 332-8082
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
John Defrancisco, LPNPI 1477537355
Title
Director / Psychologist
Phone
(952) 240-5330

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X LP0411 MN Primary

Addresses

Primary practice location

303 1St Ave NE Ste 220
Faribault, MN 55021-5244

Mailing address

303 1St Ave NE Ste 220
Faribault, MN 55021-5244
Phone (507) 332-8082

Other identifiers 1

IdentifierTypeStateIssuer
1477537355MedicaidMN

Other names 1

  • John DeFrancisco, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

303 1st Ave NE
Ste 220
Faribault, MN 55021
Phone (507) 332-8082

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": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972020154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 1ST AVE NE STE 220",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215244",
            "telephone_number": "507-332-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 1ST AVE NE STE 220",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215244",
            "telephone_number": "507-332-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEFRANCISCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR / PSYCHOLOGIST",
        "authorized_official_telephone_number": "952-240-5330",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477537355",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John DeFrancisco, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.