PENTICOFF COMMUNITY COUNSELING, INC.
NPI 1588896310
Psychologist - Clinical in Woodbury, MN

Q: What is Penticoff Community Counseling, Inc.'s NPI number?

The NPI number for Penticoff Community Counseling, Inc. is 1588896310. It was assigned to this organization in the NPPES registry on August 12, 2009.

Q: What is Penticoff Community Counseling, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 12, 2009

1818 WOODDALE DR STE 204, WOODBURY, MN 55125(651) 255-6678(651) 501-6091 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Penticoff Community Counseling, Inc. NPPES

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

PENTICOFF COMMUNITY COUNSELING, INC. (NPI 1588896310) is a healthcare organization registered as a clinical in Woodbury, Minnesota and active in the NPI registry since August 2009. The organization lists Renee Marie Penticoff, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1588896310

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePENTICOFF COMMUNITY COUNSELING, INC.

Location Address1818 WOODDALE DR STE 204Woodbury, MN 55125-2983

Mailing AddressPo Box 25334Woodbury, MN 55125-0334 · (651) 255-6678 · Fax (651) 501-6091

Phone(651) 255-6678

Fax(651) 501-6091

Organization SubpartNo

Authorized OfficialRenee Marie PenticoffOwner, President · (651) 255-6678

Enumeration DateAugust 12, 2009

✔ NPI 1588896310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP-4060

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1818 WOODDALE DR STE 204, Woodbury, MN 55125

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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 SINGLE SPECIALTY GROUP

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 Penticoff Community Counseling, Inc.'s NPI number?

The NPI number for Penticoff Community Counseling, Inc. is 1588896310. It was assigned to this organization in the NPPES registry on August 12, 2009.

Where is Penticoff Community Counseling, Inc. located?

Penticoff Community Counseling, Inc. is located at 1818 Wooddale Dr Ste 204, Woodbury, MN 55125. The listed phone number is (651) 255-6678.

What is Penticoff Community Counseling, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Penticoff Community Counseling, Inc. was last updated on August 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.