Active NPI
Cedarwood Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roseville, MN
National Provider Identifier
1972379519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CEDARWOOD COUNSELING, LLC
- Practice address
- 3091 Mount Ridge Rd
Roseville, MN 55113-1225 - Phone
- (651) 246-1804
- NPI assigned
- Nov 27, 2023
- 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
- Laurna Kay Blassingame, MA, LPCC
- Title
- Owner
- Phone
- (651) 246-1804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3091 Mount Ridge Rd
Roseville, MN 55113-1225
Mailing address
3091 Mount Ridge Rd
Roseville, MN 55113-1225
Phone (651) 246-1804
National Provider Directory
National Provider DirectoryLocations
2151 Hamline Ave N
Roseville, MN 55113
Phone (651) 583-5565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1972379519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3091 MOUNT RIDGE RD",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131225",
"telephone_number": "651-246-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3091 MOUNT RIDGE RD",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131225",
"telephone_number": "651-246-1804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDARWOOD COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-26",
"status": "A",
"authorized_official_last_name": "BLASSINGAME",
"authorized_official_first_name": "LAURNA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-246-1804",
"authorized_official_credential": "MA, LPCC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.