North Star Counseling & Mediation Services Psc
Social Worker, Clinical in St Paul, MN. Organization (NPI-2).
NPI number1932207396
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1932207396
- Entity type
- Organization (NPI-2)
- Legal business name
- North Star Counseling & Mediation Services Psc
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 08378 | MN | Yes |
| 101YM0800X | Counselor, Mental Health | LP0594 | MN | |
| 106H00000X | Marriage & Family Therapist | 0628 | MN |
Practice location
3116 Fairview Ave NorthSte B
St Paul, MN 55113-1203
Phone 651-636-9100 · Fax 651-634-3712
Mailing address
3116 Fairview Ave NorthSte B
St Paul, MN 55113-1203
Phone 651-636-9100 · Fax 651-634-3712
Authorized official
Earl Nolting
Pres
6516369100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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