LIFE INTERRUPTED COUNSELING SERVICES
NPI 1033821632
Clinic/Center - Adolescent and Children Mental Health in Burnsville, MN

Active since December 15, 2022
1500 MCANDREWS RD W STE 215, BURNSVILLE, MN 55337(952) 222-3002 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2023, Dec 15, 2022 (2 updates tracked since 2022).

About Life Interrupted Counseling Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE INTERRUPTED COUNSELING SERVICES (NPI 1033821632) is a healthcare organization registered as an adolescent and children mental health in Burnsville, Minnesota and active in the NPI registry since December 2022. The organization lists Mary L Chedda, Ceo/sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1033821632
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameLIFE INTERRUPTED COUNSELING SERVICES
Location Address1500 MCANDREWS RD W STE 215Burnsville, MN 55337-4445
Mailing Address1500 Mcandrews Rd W Ste 215Burnsville, MN 55337-4445 · (651) 338-8643
Organization SubpartNo
Authorized OfficialMary L CheddaCeo/sole Proprietor · (651) 338-8643
Enumeration DateDecember 15, 2022
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
NPI 1033821632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1500 MCANDREWS RD W STE 215, Burnsville, MN 55337

Other Identifiers 2

Other1861931966MN · Individual Npi
Medicaid1861931966MN

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1500 MCANDREWS RD W STE 215
BURNSVILLE, MN 55337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Interrupted Counseling Services's NPI number?

The NPI number for Life Interrupted Counseling Services is 1033821632. It was assigned to this organization in the NPPES registry on December 15, 2022.

Where is Life Interrupted Counseling Services located?

Life Interrupted Counseling Services is located at 1500 Mcandrews Rd W Ste 215, Burnsville, MN 55337. The listed phone number is (952) 222-3002.

What is Life Interrupted Counseling Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does Life Interrupted Counseling Services accept?

Health plans from HealthPartners list Life Interrupted Counseling Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Interrupted Counseling Services was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.