CROSSTOWN COUNSELING PLC NPI 1356453211

NPI Information

NPI: 1356453211
Provider Name: CROSSTOWN COUNSELING, PLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5939 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55417
Phone: (612) 866-6100
Get Directions

CROSSTOWN COUNSELING, PLC is a mental health counselor in Minneapolis, MN. CROSSTOWN COUNSELING, PLC NPI is 1356453211. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5939 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55417-127
Phone: (612) 866-6100
Fax: (612) 866-9379

The provider's authorized official is Mark W Smith .
The authorized official title is Owner and has the following contact phone number (612) 866-6100.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/17/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		MINNESOTA	Yes
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No

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	102R3CR	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	163639100	MEDICAID	MINNESOTA

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: 4/28/2024

NPI Synchronization or Removal

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