FULL SPECTRUM PSYCHOTHERAPY, LLC
NPI 1285802066
Counselor - Mental Health in St Louis Park, MN

NPI Status: Active since February 14, 2008

Contact Information

7515 WAYZATA BLVD
SUITE 211
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 544-2288

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  • Organization
  • Counselor
  • Mental Health

About FULL SPECTRUM PSYCHOTHERAPY, LLC

This page provides the complete NPI Profile along with additional information for Full Spectrum Psychotherapy, Llc, a provider established in St Louis Park, Minnesota operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1285802066 assigned on February 2008. The practitioner's primary taxonomy code is 101YM0800X with license number 00036 (MN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Gretchen Lee Bueide Ma, Lpc, Ceap (Owner)

NPI
1285802066
Provider Name
FULL SPECTRUM PSYCHOTHERAPY, LLC
Entity Type
Organization
Location Address
7515 WAYZATA BLVD SUITE 211 ST LOUIS PARK, MN 55426
Location Phone
(952) 544-2288
Mailing Address
7515 WAYZATA BLVD SUITE 211 ST LOUIS PARK, MN 55426
Mailing Phone
(952) 544-2288
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2008
Last Update Date
02-14-2008
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A mental health counselor like Full Spectrum Psychotherapy, Llc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
00036
License State
MN

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GRETCHEN LEE BUEIDE MA, LPC, CEAP

Authorized Official Title
OWNER
Authorized Official Phone
(952) 544-2288

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285802066
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651604012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 6 + 0 + 4 + 0 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1285802066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

MS. SHIRLEY M. RUTHERFORD M.A., LP

Psychologist

(Counseling)

7515 WAYZATA BLVD
#212
ST LOUIS PARK, MN
ZIP 55426

(952) 544-0300

SUSAN BETH KRUPP MSW LICSW

Social Worker

(Clinical)

7515 WAYZATA BLVD
SUITE 200
ST LOUIS PARK, MN
ZIP 55426

(952) 767-5009

ISABELLE DUGUAY MA, LPCC, LCPC

Counselor

(Professional)

7515 WAYZATA BLVD
SUITE 229
ST LOUIS PARK, MN
ZIP 55426

(612) 850-7973

MR. THOMAS WRIGHT BURSACK M.A.L.P.

Psychologist

7515 WAYZATA BLVD
SUITE 210
ST LOUIS PARK, MN
ZIP 55426

(763) 568-1773

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285802066, enumerated as an "organization" on February 14, 2008.

The provider is located at 7515 WAYZATA BLVD SUITE 211 ST LOUIS PARK, MN 55426 and the phone number is (952) 544-2288.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.