Active NPI
New Directions Counseling Center, LLC
- Clinical Psychologist
- Faribault, MN
National Provider Identifier
1972020154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP0411
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Defrancisco, LP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477537355 | Medicaid | MN |
Other names 1
- John DeFrancisco, LLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Faribault, MN
- NPI 1477537355
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.