Shameless Therapy & Consulting Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SHAMELESS THERAPY & CONSULTING SERVICES, LLC

Practice address

1267 Robin Lane
New Brighton, MN 55112

Phone

(507) 571-2942

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Jacqueline GolobNPI 1679040596

Title

Owner

Phone

(507) 571-2942

Specialties & licenses 1

Addresses

Other names 1

• Shameless Therapy & Consulting Services, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Christine Golob

  • Professional Counselor
  • New Brighton, MN
  • NPI 1679040596
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1972282549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 EXCELSIOR BLVD # 709",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162906",
            "telephone_number": "507-571-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 ROBIN LANE",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "507-571-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMELESS THERAPY & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "GOLOB",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-571-2942"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shameless Therapy & Consulting Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Selah Relational Therapy
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• Francesca Sere, CNP
• Neil Ashvin Shah, M.D.
• Ryan Joseph Sheats, LSW
• Eric Shedd, LADC
• Justin Shedivy
• Zach Shivers, RDN
• Jay Scott Sidor, LMFT

• Adult Mental Health Clinic/Center in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.