Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Integrated Life Counseling Center, Pllc

Clinical Psychologist in Lake Elmo, MN · enumerated 2015 · authorized official Tracy Swanson, Director of Communications.

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

National Provider Identifier

1649644634

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Registry record

Entity type Organization (Type 2)

Legal business name Integrated Life Counseling Center, Pllc

Practice address 8931 33rd Street N, Lake Elmo, MN, 55042

Phone (651) 242-9608

Fax (651) 756-8138

Enumeration date Nov 14, 2015

Last updated in NPPES Sep 2, 2016

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License CC00241 (MN) Secondary

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License LP3782 (MN) Primary

106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers · License 920 (MN) Secondary

106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers · License 2005 (MN) Secondary

Authorized official

Name Tracy Swanson

Title Director of Communications

Phone (651) 242-9608

Other identifiers

Identifier	Type	State	Issuer
1629138417	Medicaid	MN	-
1225262496	Medicaid	MN	-
1114091709	Medicaid	MN	-
1154562205	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.

Read the full guide → Validate an NPI →

Frequently asked questions

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.

What type of organization is Integrated Life Counseling Center, Pllc?

Integrated Life Counseling Center, Pllc is registered in NPPES as a Clinical Psychologist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-02.