LAKE MINNETONKA COUNSELING
NPI 1578835310
Clinic/Center - Adolescent and Children Mental Health in Long Lake, MN

Q: What is Lake Minnetonka Counseling's NPI number?

The NPI number for Lake Minnetonka Counseling is 1578835310. It was assigned to this organization in the NPPES registry on February 8, 2012.

Q: What is Lake Minnetonka Counseling's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since February 08, 2012

432 MILL ST, SUITE 201, LONG LAKE, MN 55356(612) 386-2311 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lake Minnetonka Counseling NPPES

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

LAKE MINNETONKA COUNSELING (NPI 1578835310) is a healthcare organization registered as an adolescent and children mental health in Long Lake, Minnesota and active in the NPI registry since February 2012. The organization lists Tara Marie Bauman, Therapist, as its authorized official.

NPPES Registry Identity

NPI1578835310

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameLAKE MINNETONKA COUNSELING

Location Address432 MILL ST, SUITE 201Long Lake, MN 55356-8304

Mailing Address470 County Road 110 NorthMinnetrista, MN 55364-8315 · (612) 386-2311

Phone(612) 386-2311

Organization SubpartNo

Authorized OfficialTara Marie BaumanTherapist · (612) 386-2311

Enumeration DateFebruary 8, 2012

✔ NPI 1578835310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

License✔ Licensed in MN · 18016

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 18016 (MN)

432 MILL ST, Long Lake, MN 55356

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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 Lake Minnetonka Counseling's NPI number?

The NPI number for Lake Minnetonka Counseling is 1578835310. It was assigned to this organization in the NPPES registry on February 8, 2012.

Where is Lake Minnetonka Counseling located?

Lake Minnetonka Counseling is located at 432 Mill St Suite 201, Long Lake, MN 55356. The listed phone number is (612) 386-2311.

What is Lake Minnetonka Counseling's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Lake Minnetonka Counseling was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.