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HIGHLAND PARK COUNSELING ASSOCIATES LLC NPI 1558371955


NPI Information

NPI: 1558371955
Provider Name: HIGHLAND PARK COUNSELING ASSOCIATES LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 24D0885027

Address:
790 CLEVELAND AVE S STE 207
SAINT PAUL, MN
ZIP 55116
Phone: (651) 690-0953
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HIGHLAND PARK COUNSELING ASSOCIATES LLC is a clinical social worker in Saint Paul, MN. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. HIGHLAND PARK COUNSELING ASSOCIATES LLC NPI is 1558371955. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

790 CLEVELAND AVE S STE 207
SAINT PAUL, MN
ZIP 55116-866
Phone: (651) 690-0953
Fax: (651) 690-0968

The provider's authorized official is Berven Sears Berven .
The authorized official title is Psychotherapist/owner and has the following contact phone number (651) 690-0953.

The CLIA number assigned to this NPI record is 24D0885027 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 3/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalYes

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
1576717200MEDICAIDMINNESOTA

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

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