OUTREACH COUNSELING & CONSULTING SERVICES INC. NPI 1295890192

NPI Information

NPI: 1295890192
Provider Name: OUTREACH COUNSELING & CONSULTING SERVICES, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3570 LEXINGTON AVE N
SUITE 100
SHOREVIEW, MN
ZIP 55126
Phone: (651) 481-0664
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OUTREACH COUNSELING & CONSULTING SERVICES, INC. is a professional counselor in Shoreview, MN. OUTREACH COUNSELING & CONSULTING SERVICES, INC. NPI is 1295890192. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3570 LEXINGTON AVE N
SUITE 100
SHOREVIEW, MN
ZIP 55126-049
Phone: (651) 481-0664
Fax: (651) 481-3907

The provider's authorized official is Luzmila Amundson .
The authorized official title is President and has the following contact phone number (651) 481-0664.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/22/2020.

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	101YP2500X	Counselor	Professional			Yes
2	103TC0700X	Psychologist	Clinical			X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10D18OU	OTHER	MINNESOTA	BCBS
2	62B09OU	OTHER	MINNESOTA	BCBS
3	31B23OU	OTHER	MINNESOTA	BCBS
4	103755	OTHER	MINNESOTA	UCARE
5	38043	OTHER	MINNESOTA	HEALTHPARTNERS

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: 5/5/2024

NPI Synchronization or Removal

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