SOUL WORK COUNSELING, LLC
NPI 1710295001
Community/Behavioral Health in Blaine, MN

Active since September 20, 2010
11925 CENTRAL AVE NE, BLAINE, MN 55434(763) 746-0842(763) 208-7297 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 12, 2024, Jul 21, 2022, Aug 5, 2021 and 1 more (4 updates tracked since 2017).

About Soul Work Counseling, Llc NPPES

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

SOUL WORK COUNSELING, LLC (NPI 1710295001) is a healthcare organization registered as a community/behavioral health in Blaine, Minnesota and active in the NPI registry since September 2010. The organization maintains a secondary practice location in Champlin and lists Nancy Petroske, Owner, as its authorized official.

NPPES Registry Identity

NPI1710295001
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUL WORK COUNSELING, LLC
Location Address11925 CENTRAL AVE NEBlaine, MN 55434-3911
Mailing Address11925 Central Ave NeBlaine, MN 55434-3911 · (763) 746-0842 · Fax (763) 208-7297
Fax(763) 208-7297
Organization SubpartNo
Authorized OfficialNancy PetroskeOwner · (763) 746-0842
Enumeration DateSeptember 20, 2010
Last NPPES UpdateJune 12, 20244 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1710295001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · 1604
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
11925 CENTRAL AVE NE, Blaine, MN 55434

Secondary Practice Location 1

Location 111188 Zealand Ave NChamplin, MN 55316-3594 · Phone (763) 746-0842 ext. 1 · Fax (763) 220-6025

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soul Work Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Soul Work Counseling, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Marriage and Family Therapist6
Clinical Social Worker5
Mental Health Counselor5
Clinical Psychologist2

Clinicians, nearest first (18)

Marriage and Family Therapist
NPI 1710081948
11925 CENTRAL AVE NE
Blaine, MN 55434
(763) 746-0842
✔ PECOSSame address
Mental Health Counselor
NPI 1710330691
3833 COON RAPIDS BLVD NW
Coon Rapids, MN 55433
(763) 767-3350
✔ PECOS✔ Accepts Medicare6.4 mi
Mental Health Counselor
NPI 1467220939
8525 EDINBROOK XING STE 2
Brooklyn Park, MN 55443
(612) 254-0500
✔ PECOS7.1 mi
Clinical Psychologist
NPI 1447351812
11116 ZEALAND AVE N SOUL WORK COUNSELING #117
Champlin, MN 55316
(763) 746-0842
✔ PECOS✔ Accepts Medicare7.9 mi
Marriage and Family Therapist
NPI 1376268284
11188 ZEALAND AVE N
Champlin, MN 55316
(763) 401-7318
✔ PECOS✔ Accepts Medicare7.9 mi
Clinical Social Worker
NPI 1962619049
2677 INNSBRUCK DR SUITE D
New Brighton, MN 55112
(651) 633-9233
✔ PECOS✔ Accepts Medicare8.3 mi
Clinical Social Worker
NPI 1053621722
615 1ST AVE NE STE 310
Minneapolis, MN 55413
(612) 436-0295
✔ PECOS14 mi
Clinical Social Worker
NPI 1053172734
3333 UNIVERSITY AVE SE
Minneapolis, MN 55414
(612) 979-6148
✔ PECOS✔ Accepts Medicare15 mi
Clinical Psychologist
NPI 1558430041
2550 UNIVERSITY AVE W SUITE 314N
Saint Paul, MN 55114
(651) 645-5323
✔ PECOS✔ Accepts Medicare15 mi
Clinical Social Worker
NPI 1376782961
12805 HIGHWAY 55 SUITE 200
Plymouth, MN 55441
(612) 723-0408
✔ PECOS17 mi
Marriage and Family Therapist
NPI 1366981334
9245 QUANTRELLE AVE NE
Otsego, MN 55330
(763) 746-9492
✔ PECOS✔ Accepts Medicare17 mi
Marriage and Family Therapist
NPI 1932339082
16816 BLENHEIM WAY
Minnetonka, MN 55345
(952) 484-8486
✔ PECOS✔ Accepts Medicare22 mi
Marriage and Family Therapist
NPI 1144543570
16816 BLENHEIM WAY
Minnetonka, MN 55345
(952) 484-8485
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1699288415
2930 146TH ST W
Rosemount, MN 55068
(952) 443-4600
✔ PECOS✔ Accepts Medicare32 mi
Mental Health Counselor
NPI 1609633759
110 14TH AVE E
Sartell, MN 56377
(320) 202-1400
✔ PECOS55 mi
Marriage and Family Therapist
NPI 1154601243
1906 5TH AVE SE
Little Falls, MN 56345
(320) 632-6647
✔ PECOS✔ Accepts Medicare76 mi
Mental Health Counselor
NPI 1265957161
69 RAILROAD AVE
Hilo, HI 96720
(808) 935-7949
✔ PECOS✔ Accepts Medicare3,906 mi
Mental Health Counselor
NPI 1093856502
15320 MINNETONKA BLVD #200
Minnetonka, MN 55345
(952) 932-7277
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Soul Work Counseling, LLC's NPI number?

The NPI number for Soul Work Counseling, LLC is 1710295001. It was assigned to this organization in the NPPES registry on September 20, 2010.

Where is Soul Work Counseling, LLC located?

Soul Work Counseling, LLC is located at 11925 Central Ave NE, Blaine, MN 55434. The listed phone number is (763) 746-0842.

What is Soul Work Counseling, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Soul Work Counseling, LLC enrolled in Medicare?

Yes. Soul Work Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Soul Work Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Soul Work Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Marriage and Family Therapist (6), Clinical Social Worker (5) and Mental Health Counselor (5). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Soul Work Counseling, LLC accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Soul Work Counseling, LLC 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 Soul Work Counseling, LLC was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.