THE COUNSELING CLINIC, INC. (NPI# 1750300620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750300620 |
| Entity Type | Organization |
| Organization Name | THE COUNSELING CLINIC, INC. |
| Practice Address |
6860 Shingle Creek Pkwy Suite 116 Brooklyn Center MN 55430-1411 |
| Practice Telephone | 7635604860 |
| Mailing Telephone | 7635604860 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANE MATHISEN (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7635604860 |
| Authorized Official Credential | MSW, LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
6860 SHINGLE CREEK PKWY SUITE 116 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730365511 | Jeanette Mildred Balfe-groh | Psychologist | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2008-01-11 |
| 1568586253 | Kathryn Anita Esslinger | Counselor | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2007-03-19 |
| 1821194085 | Diane Mathisen | Social Worker | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2006-09-15 |
| 1336244425 | Larry Allen Goldman | Social Worker | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2006-09-13 |
| 1760587893 | Rosemary O'brien | Psychologist | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2006-09-13 |
| 1710082995 | Becky Thacher - Bell | Marriage & Family Therapist | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2006-09-13 |
| 1780789883 | Thomas M Skovholt | Psychologist | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013139419 | Advanced Behavioral Health, Inc | Clinic/Center | 3300 County Road 10 Ste 500, Brooklyn Center, MN 55429 | 2007-05-03 |
| 1043363567 | Lds Family Services | Clinic/Center | 6120 Earle Brown Dr Ste 210, Brooklyn Center, MN 55430-4107 | 2007-01-19 |
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| 1124593090 | Amal Healing Center | Clinic/Center | 3212 64th Ave N, Brooklyn Center, MN 55429-2237 | 2018-10-08 |
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| 1124639190 | Woodhaven Wellness | Clinic/Center | 3000 Carriage Dr, Hamel, MN 55340-9597 | 2020-08-13 |
| 1245840735 | Kalina Counseling Services | Clinic/Center | 120 7th St Unit 101, Two Harbors, MN 55616-1563 | 2020-08-09 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.