CENTERLIFE COUNSELING, LLC
NPI 1417283946
Counselor - Mental Health in Centerville, MN

Q: What is Centerlife Counseling, LLC's NPI number?

The NPI number for Centerlife Counseling, LLC is 1417283946. It was assigned to this organization in the NPPES registry on October 18, 2009.

Q: What is Centerlife Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since October 18, 2009

7039 20TH AVE, CENTERVILLE, MN 55038(651) 288-0332 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2019, Mar 17, 2018, Aug 28, 2017 and 2 more (5 updates tracked since 2015).

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About Centerlife Counseling, Llc NPPES

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

CENTERLIFE COUNSELING, LLC (NPI 1417283946) is a healthcare organization registered as a mental health in Centerville, Minnesota and active in the NPI registry since October 2009. The organization maintains a secondary practice location in White Bear Lake and lists Kimberly Ann Lundholm-eades, Owner, as its authorized official.

NPPES Registry Identity

NPI1417283946

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCENTERLIFE COUNSELING, LLC

Location Address7039 20TH AVECenterville, MN 55038-9737

Mailing Address7039 20th AveCenterville, MN 55038-9737 · (651) 288-0332

Phone(651) 288-0332

Organization SubpartNo

Authorized OfficialKimberly Ann Lundholm-eadesOwner · (651) 288-0332

Enumeration DateOctober 18, 2009

Last NPPES UpdateJanuary 21, 20195 updates tracked since enumeration

✔ NPI 1417283946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychologist · FamilyTaxonomy 103TF0000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 942 (MN)

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

7039 20TH AVE, Centerville, MN 55038

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Secondary Practice Location 1

Location 1CenterLife Counseling, 4444 Centerville Rd. Ste 235White Bear Lake, MN 55127-3712 · Phone (651) 289-3111 · Fax (651) 289-3113

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 8

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

DR. PATRICIA KNISKERN PSY D, LP

Psychologist