COMMUNITY COUNSELING CLINIC
NPI 1487739819
Psychologist in Wayzata, MN

Active since October 26, 2006
700 TWELVE OAKS CENTER DR, STE. 734, WAYZATA, MN 55391(952) 258-0668(612) 235-3384 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Counseling Clinic NPPES

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

COMMUNITY COUNSELING CLINIC (NPI 1487739819) is a healthcare organization registered as a psychologist in Wayzata, Minnesota and active in the NPI registry since October 2006. The organization lists Sue Hierl, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487739819
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCOMMUNITY COUNSELING CLINIC
Location Address700 TWELVE OAKS CENTER DR, STE. 734Wayzata, MN 55391-4401
Mailing Address16725 12th Ave NPlymouth, MN 55447-3001 · (763) 473-3692
Fax(612) 235-3384
Organization SubpartNo
Authorized OfficialSue HierlOffice Manager · (952) 258-0668
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1487739819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP1597
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
700 TWELVE OAKS CENTER DR, Wayzata, MN 55391

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

Other Providers at the Same Location NPPES 15

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

Chiropractor
700 TWELVE OAKS CENTER DR, SUITE 101
WAYZATA, MN 55391
Technician, Other
700 TWELVE OAKS CENTER DR
WAYZATA, MN 55391
Psychologist (Clinical Child & Adolescent)
700 TWELVE OAKS CENTER DR
WAYZATA, MN 55391
Psychologist (Counseling)
700 TWELVE OAKS CENTER DR, STE 204
WAYZATA, MN 55391
Community/Behavioral Health
700 TWELVE OAKS CENTER DR, #260 UPSTAIRS
WAYZATA, MN 55391
Clinic/Center (Community Health)
700 TWELVE OAKS CENTER DR, SUITE 101
WAYZATA, MN 55391
Physical Therapist
700 TWELVE OAKS CENTER DR
WAYZATA, MN 55391
Chiropractor (Pediatric Chiropractor)
700 TWELVE OAKS CENTER DR, SUITE 734
WAYZATA, MN 55391

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 Community Counseling Clinic's NPI number?

The NPI number for Community Counseling Clinic is 1487739819. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Community Counseling Clinic located?

Community Counseling Clinic is located at 700 Twelve Oaks Center Dr Ste. 734, Wayzata, MN 55391. The listed phone number is (952) 258-0668.

What is Community Counseling Clinic's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Community Counseling Clinic 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.