BETHANY CHRISTIAN SERVICES OF MINNESOTA
NPI 1285074039
Counselor - Professional in Plymouth, MN

Q: What is Bethany Christian Services Of Minnesota's specialty?

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

Active since June 26, 2013

3131 FERNBROOK LN N STE 204, PLYMOUTH, MN 55447(763) 553-0344(763) 553-0117 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Bethany Christian Services Of Minnesota NPPES

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

BETHANY CHRISTIAN SERVICES OF MINNESOTA (NPI 1285074039) is a healthcare organization registered as a professional in Plymouth, Minnesota and active in the NPI registry since June 2013. The organization lists Gloria Peterson, Clinician, as its authorized official.

NPPES Registry Identity

NPI1285074039

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameBETHANY CHRISTIAN SERVICES OF MINNESOTA

Location Address3131 FERNBROOK LN N STE 204Plymouth, MN 55447-5337

Mailing Address3131 Fernbrook Ln N Ste 204Plymouth, MN 55447-5337 · (763) 553-0344 · Fax (763) 553-0117

Phone(763) 553-0344

Fax(763) 553-0117

Organization SubpartYesParent: Bethany Christian Services

Authorized OfficialGloria PetersonClinician · (763) 553-0344

Enumeration DateJune 26, 2013

Last NPPES UpdateMarch 31, 2020

NPPES CertifiedMarch 31, 2020

✔ NPI 1285074039 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 · 00747

3131 FERNBROOK LN N STE 204, Plymouth, MN 55447

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Bethany Christian Services Of Minnesota's NPI number?

The NPI number for Bethany Christian Services Of Minnesota is 1285074039. It was assigned to this organization in the NPPES registry on June 26, 2013.

Where is Bethany Christian Services Of Minnesota located?

Bethany Christian Services Of Minnesota is located at 3131 Fernbrook Ln N Ste 204, Plymouth, MN 55447. The listed phone number is (763) 553-0344.

What is Bethany Christian Services Of Minnesota'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 Bethany Christian Services Of Minnesota was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.