Deep Lake Counseling Services LTD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DEEP LAKE COUNSELING SERVICES LTD

Practice address

15611 Yakima St NW
Ramsey, MN 55303-4262

Phone

(763) 233-2870

NPI assigned

Apr 8, 2026

Organization subpart

No

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

Authorized official

Name

Brian Thomas Wilton, LPCC, LADCNPI 1285237917

Title

Chief Executive Officer

Phone

(763) 233-2870

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brian Thomas Wilton, LPCC

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1285237917

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1972445997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 YAKIMA ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034262",
            "telephone_number": "763-233-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15611 YAKIMA ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034262",
            "telephone_number": "763-233-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP LAKE COUNSELING SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "WILTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "763-233-2870",
        "authorized_official_credential": "LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.