NPI Details
SECURE BASE COUNSELING CENTER LLC is a psychologist in Northfield, MN. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. SECURE BASE COUNSELING CENTER LLC NPI is 1285905885. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
570 PROFESSIONAL DR
NORTHFIELD, MN
ZIP 55057-756
Phone: (507) 301-3412
The provider's authorized official is Jennifer Lynn Simpson-dahl .
The authorized official title is Ceo/owner and has the following contact phone number (507) 301-3412.
The enumeration date for this NPI number is 1/13/2012 and was last updated on 3/30/2022.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 1041C0700X | Social Worker | Clinical | | | No |
| 2 | 171R00000X | Interpreter | | | | No |
| 3 | 2080P0006X | Pediatrics | Developmental - Behavioral Pediatrics | | | No |
| 4 | 2084P0800X | Psychiatry & Neurology | Psychiatry | | | No |
| 5 | 2084P0804X | Psychiatry & Neurology | Child & Adolescent Psychiatry | | | No |
| 6 | 225X00000X | Occupational Therapist | | | | No |
| 7 | 235Z00000X | Speech-Language Pathologist | | | | No |
| 8 | 363LP0200X | Nurse Practitioner | Pediatrics | | | No |
| 9 | 106H00000X | Marriage & Family Therapist | | | | No |
| 10 | 133V00000X | Dietitian, Registered | | | | No |
| 11 | 163W00000X | Registered Nurse | | | | No |
| 12 | 163WP0808X | Registered Nurse | Psychiatric/Mental Health | | | No |
| 13 | 164W00000X | Licensed Practical Nurse | | | | No |
| 14 | 363LP0808X | Nurse Practitioner | Psychiatric/Mental Health | | | No |
| 15 | 103T00000X | Psychologist | | LP4079 | MINNESOTA | Yes |
