Telepsychus

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TELEPSYCHUS

Practice address

8518 South Maplebrook Circle
Brooklyn Park, MN 55445

Phone

(612) 462-5121

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Kau Macador Queeglay, LPCCNPI 1417510165

Title

Owner

Phone

(612) 462-5121

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kau Macador Queeglay, LPCC, LADC

  • Mental Health Counselor
  • Robbinsdale, MN
  • NPI 1417510165
  NPD Authorized official

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1992305973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 4TH ST E STE 807",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011687",
            "telephone_number": "612-462-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 SOUTH MAPLEBROOK CIRCLE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55445",
            "telephone_number": "612-462-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEPSYCHUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "QUEEGLAY",
        "authorized_official_first_name": "KAU",
        "authorized_official_middle_name": "MACADOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-462-5121",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417510165",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.