NORTHEAST COUNSELING, P.A.
NPI 1053596577
Clinic/Center - Adolescent and Children Mental Health in Maplewood, MN

Q: What is Northeast Counseling, P.A.'s NPI number?

The NPI number for Northeast Counseling, P.A. is 1053596577. It was assigned to this organization in the NPPES registry on January 3, 2008.

Q: What is Northeast Counseling, P.A.'s specialty?

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

Active since January 03, 2008

2127 COUNTY ROAD D E STE A100, MAPLEWOOD, MN 55109(651) 592-1592(651) 429-2988 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Northeast Counseling, P.a. NPPES

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

NORTHEAST COUNSELING, P.A. (NPI 1053596577) is a healthcare organization registered as an adolescent and children mental health in Maplewood, Minnesota and active in the NPI registry since January 2008. The organization lists Tim G Scott, President, as its authorized official.

NPPES Registry Identity

NPI1053596577

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameNORTHEAST COUNSELING, P.A.

Location Address2127 COUNTY ROAD D E STE A100Maplewood, MN 55109-5350

Mailing Address2127 County Road D E Ste A100Maplewood, MN 55109-5350 · (651) 592-1592 · Fax (651) 429-2988

Phone(651) 592-1592

Fax(651) 429-2988

Organization SubpartNo

Authorized OfficialTim G ScottPresident · (651) 398-6341

Enumeration DateJanuary 3, 2008

Last NPPES UpdateApril 2, 2018

✔ NPI 1053596577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2127 COUNTY ROAD D E STE A100, Maplewood, MN 55109

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Other Identifiers 1

Medicaid1053596577MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 5

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

CLAYTON D. SANKEY LICSW, LLC

Social Worker (Clinical)