Northeast Counseling, P.A.
NPI 1053596577 · Adolescent and Children Mental Health Clinic/Center · Maplewood, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Counseling, P.A. is a Adolescent and Children Mental Health Clinic/Center organization in Maplewood, MN (NPI 1053596577).
Provider details
- NPI number
- 1053596577
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tim Scott, President(651) 398-6341
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-03
- Last updated
- 2018-04-02
Frequently asked questions
- What is Northeast Counseling, P.A.'s NPI number?
- Northeast Counseling, P.A.'s National Provider Identifier (NPI) is 1053596577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Counseling, P.A.?
- Northeast Counseling, P.A. is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northeast Counseling, P.A. located?
- Northeast Counseling, P.A.'s practice location on file with NPPES is 2127 County Road D E Ste A100, Maplewood, MN 55109-5350.
- What is Northeast Counseling, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Northeast Counseling, P.A. is (651) 592-1592.
- Does Northeast Counseling, P.A. accept Medicare?
- Northeast Counseling, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Counseling, P.A.?
- The authorized official listed on Northeast Counseling, P.A.'s NPPES record is Tim Scott, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Counseling, P.A.'s NPI active?
- Yes — Northeast Counseling, P.A.'s NPI (1053596577) is active in the NPPES registry as of the last update on 2018-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.