INTEGRATED LIFE COUNSELING CENTER, PLLC
NPI 1649644634
Psychologist - Clinical in Lake Elmo, MN

Active since November 14, 2015
8931 33RD STREET N, LAKE ELMO, MN 55042(651) 242-9608(651) 756-8138 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2016, Nov 14, 2015 (2 updates tracked since 2015).

About Integrated Life Counseling Center, Pllc NPPES

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

INTEGRATED LIFE COUNSELING CENTER, PLLC (NPI 1649644634) is a healthcare organization registered as a clinical in Lake Elmo, Minnesota and active in the NPI registry since November 2015. The organization lists Tracy Lee Kaye Swanson, Director Of Communications, as its authorized official.

NPPES Registry Identity

NPI1649644634
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameINTEGRATED LIFE COUNSELING CENTER, PLLC
Location Address8931 33RD STREET NLake Elmo, MN 55042-8900
Mailing Address8931 33rd Street NLake Elmo, MN 55042-8900 · (651) 242-9608 · Fax (651) 756-8138
Fax(651) 756-8138
Organization SubpartNo
Authorized OfficialTracy Lee Kaye SwansonDirector Of Communications · (651) 242-9608
Enumeration DateNovember 14, 2015
Last NPPES UpdateSeptember 2, 20162 updates tracked since enumeration
NPI 1649644634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MN · LP3782
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CC00241 (MN)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 920 (MN), 2005 (MN)
8931 33RD STREET N, Lake Elmo, MN 55042

Other Identifiers 4

Medicaid1225262496MN
Medicaid1629138417MN
Medicaid1154562205MN
Medicaid1114091709MN

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

Accepted Insurance

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 Integrated Life Counseling Center, PLLC's NPI number?

The NPI number for Integrated Life Counseling Center, PLLC is 1649644634. It was assigned to this organization in the NPPES registry on November 14, 2015.

Where is Integrated Life Counseling Center, PLLC located?

Integrated Life Counseling Center, PLLC is located at 8931 33rd Street N, Lake Elmo, MN 55042. The listed phone number is (651) 242-9608.

What is Integrated Life Counseling Center, PLLC's specialty?

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

What insurance does Integrated Life Counseling Center, PLLC accept?

Health plans from HealthPartners and Sanford Health Plan list Integrated Life Counseling Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrated Life Counseling Center, PLLC was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.