Provider Type Icon

FREE BIRD COUNSELING AND CONSULTATION LLC NPI 1194127456


NPI Information

NPI: 1194127456
Provider Name: FREE BIRD COUNSELING AND CONSULTATION LLC

Other Name: FREE BIRD COUNSELING AND CONSULTATION

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1684 SELBY AVE
SAINT PAUL, MN
ZIP 55104
Phone: (651) 206-8955
Get Directions

FREE BIRD COUNSELING AND CONSULTATION LLC is a community behavioral health in Saint Paul, MN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FREE BIRD COUNSELING AND CONSULTATION LLC NPI is 1194127456. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Free Bird Counseling And Consultation.

The provider's business location address is:

1684 SELBY AVE
SAINT PAUL, MN
ZIP 55104-149
Phone: (651) 206-8955
Fax: (651) 389-9397

The provider's authorized official is Susan J Bollinger Brown .
The authorized official title is Executive Partner and has the following contact phone number (651) 206-8955.

The enumeration date for this NPI number is 9/18/2014 and was last updated on 12/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2251S00000XCommunity/Behavioral Health13061MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11265500755OTHERMINNESOTAINDIVIDUAL NPI
2165172200MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.