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Northeast Counseling, P.A.

Adolescent and Children Mental Health Clinic/Center in Maplewood, MN · enumerated 2008 · authorized official Tim Scott, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053596577

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Counseling, P.A.
Practice address 2127 County Road D E Ste A100, Maplewood, MN, 55109
Phone (651) 592-1592
Fax (651) 429-2988
Enumeration date Jan 3, 2008
Last updated in NPPES Apr 2, 2018

Taxonomy & classification

261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Tim Scott
Title President
Phone (651) 398-6341

Other identifiers

Identifier Type State Issuer
1053596577 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Northeast Counseling, P.A.?
Northeast Counseling, P.A. is registered in NPPES as a Adolescent and Children Mental Health Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-02.