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COURTNEY JEAN GUNDERSON LICSW
NPI 1235776543
Counselor - Professional in Fridley, MN

Active since December 05, 2019
5384 5TH ST NE, FRIDLEY, MN 55421(763) 572-0009(763) 537-7162 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2021, Dec 5, 2019 (2 updates tracked since 2019).

About Courtney Jean Gunderson Licsw NPPES

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

COURTNEY JEAN GUNDERSON LICSW (NPI 1235776543) is an individual professional provider in Fridley, Minnesota and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1235776543
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOURTNEY JEAN GUNDERSONCredential: LICSW
Location Address5384 5TH ST NEFridley, MN 55421-1108
Mailing Address6120 Earle Brown Dr Ste 100Brooklyn Center, MN 55430-4100 · (715) 781-5491 · Fax (763) 537-7162
Phone(763) 572-0009
Fax(763) 537-7162
Sole ProprietorNo
Enumeration DateDecember 5, 2019
Last NPPES UpdateApril 2, 20212 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
✔ NPI 1235776543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
5384 5TH ST NE, Fridley, MN 55421
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Other Providers at the Same Location NPPES 2

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

COMMUNITY OPTIONS FRIDLEY INC.
Community Based Residential Treatment Facility, Mental Illness
5384 5TH ST NE
FRIDLEY, MN 55421
Anoka County (763) 572-0009
RESCARE MINNESOTA, INC.
Community/Behavioral Health
5384 5TH ST NE
FRIDLEY, MN 55421
Anoka County (763) 572-0009

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 Courtney Gunderson's NPI number?

The NPI number for Courtney Gunderson is 1235776543. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Courtney Gunderson located?

Courtney Gunderson practices at 5384 5th St NE, Fridley, MN 55421. The listed phone number is (763) 572-0009.

What is Courtney Gunderson'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 Courtney Gunderson was last updated on April 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.