BIRCH LAKE PROFESSIONAL COUNSELING GROUP, INC.
NPI 1386863793
Counselor - Professional in White Bear Lake, MN

Active since April 24, 2007
1310 HIGHWAY 96 E, SUITE 104B, WHITE BEAR LAKE, MN 55110(651) 653-1925(651) 653-1956 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Birch Lake Professional Counseling Group, Inc. NPPES

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

BIRCH LAKE PROFESSIONAL COUNSELING GROUP, INC. (NPI 1386863793) is a healthcare organization registered as a professional in White Bear Lake, Minnesota and active in the NPI registry since April 2007. The organization lists Joe William Gladden, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1386863793
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBIRCH LAKE PROFESSIONAL COUNSELING GROUP, INC.
Location Address1310 HIGHWAY 96 E, SUITE 104BWhite Bear Lake, MN 55110-3624
Mailing Address1310 Highway 96 E, Suite 104bWhite Bear Lake, MN 55110-3624 · (651) 653-1925 · Fax (651) 653-1956
Fax(651) 653-1956
Organization SubpartNo
Authorized OfficialJoe William GladdenManaging Director · (651) 653-1925
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1386863793 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 · 00133
1310 HIGHWAY 96 E, White Bear Lake, MN 55110

Other Identifiers 1

Other00133MN · Lpc

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

Other Providers at the Same Location NPPES 16

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

Hearing Instrument Specialist
1310 HIGHWAY 96 E, 204C
WHITE BEAR LAKE, MN 55110
Chiropractor
1310 HIGHWAY 96 E, SUITE #206
WHITE BEAR LAKE, MN 55110
Marriage & Family Therapist
1310 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Psychologist
1310 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Nurse Practitioner (Psychiatric/Mental Health)
1310 HIGHWAY 96 E
WHITE BEAR LAKE, MN 55110
Massage Therapist
1310 HIGHWAY 96 E, #214
WHITE BEAR LAKE, MN 55110
Marriage & Family Therapist
1310 HIGHWAY 96 E, SUITE 104C
WHITE BEAR LAKE, MN 55110
Marriage & Family Therapist
1310 HIGHWAY 96 E, SUITE 202 A
WHITE BEAR LAKE, MN 55110

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 Birch Lake Professional Counseling Group, Inc.'s NPI number?

The NPI number for Birch Lake Professional Counseling Group, Inc. is 1386863793. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Birch Lake Professional Counseling Group, Inc. located?

Birch Lake Professional Counseling Group, Inc. is located at 1310 Highway 96 E Suite 104B, White Bear Lake, MN 55110. The listed phone number is (651) 653-1925.

What is Birch Lake Professional Counseling Group, Inc.'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 Birch Lake Professional Counseling Group, Inc. was last updated on August 22, 2020. 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.