COMMUNITY COUNSELING CLINIC – Psychologist, NPI 1487739819

COMMUNITY COUNSELING CLINIC is a healthcare provider. based in Plymouth, Minnesota. specializing in Psychologist. The organization holds a License No. LP1597 (MN). The NPI Number for COMMUNITY COUNSELING CLINIC is 1487739819

Main info

Organization
Name
COMMUNITY COUNSELING CLINIC
NPI
1487739819
Phone
(763) 473-3692
Address
16725 12TH AVE N
Authorized Official
SUE HIERL OFFICE MANAGER
Enumeration Date
26 October 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for COMMUNITY COUNSELING CLINIC

  • 16725, 12th Avenue North, Plymouth, Hennepin County, Minnesota, 55447, United States

    PLYMOUTH, MN 554473001

    Phone: (763) 473-3692

    Type: Mailing

  • 700, Twelve Oaks Center Drive, Wayzata, Hennepin County, Minnesota, 55391, United States

    STE. 734

    WAYZATA, MN 553914401

    Phone: (952) 258-0668

    Fax: (612) 235-3384

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55447)

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Reviews

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Frequently asked questions

How is COMMUNITY COUNSELING CLINIC identified in CMS data?
CMS-hosted NPPES data lists COMMUNITY COUNSELING CLINIC with NPI 1487739819.
Does CMS list COMMUNITY COUNSELING CLINIC as active?
Yes — COMMUNITY COUNSELING CLINIC is active in the NPI listing used on this page.
What is COMMUNITY COUNSELING CLINIC best known for clinically?
Directory data describes COMMUNITY COUNSELING CLINIC with Psychologist. Clinical services aligned with this taxonomy classification.
Does COMMUNITY COUNSELING CLINIC list a practice location?
Patients near Plymouth, Minnesota may find COMMUNITY COUNSELING CLINIC in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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