IDA MARIE HOLDAHL MA, LPCC
NPI 1053997304
Counselor - Professional in Brooklyn Center, MN

Active since March 18, 2021
5910 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430(763) 569-5228(763) 569-5240 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ida Marie Holdahl Ma, Lpcc NPPES

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

IDA MARIE HOLDAHL MA, LPCC (NPI 1053997304) is an individual professional provider in Brooklyn Center, Minnesota, licensed in Minnesota (2754) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1053997304
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameIDA MARIE HOLDAHLCredential: MA, LPCC
Location Address5910 SHINGLE CREEK PKWYBrooklyn Center, MN 55430-2322
Mailing Address5910 Shingle Creek PkwyBrooklyn Center, MN 55430-2322 · (763) 569-5228 · Fax (763) 569-5240
Fax(763) 569-5240
Sole ProprietorNo
Enumeration DateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
NPI 1053997304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 2754
5910 SHINGLE CREEK PKWY, Brooklyn Center, MN 55430

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
5910 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430
Counselor (Mental Health)
5910 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430
Social Worker (Clinical)
5910 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430
Counselor (Mental Health)
5910 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430
Social Worker (Clinical)
5910 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430
Social Worker (Clinical)
5910 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430
Social Worker (Clinical)
5910 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430
Counselor (Professional)
5910 SHINGLE CREEK PKWY
BROOKLYN CENTER, MN 55430

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 Ida Holdahl's NPI number?

The NPI number for Ida Holdahl is 1053997304. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Where is Ida Holdahl located?

Ida Holdahl practices at 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430. The listed phone number is (763) 569-5228.

What is Ida Holdahl's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ida Holdahl was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.