OrganizationActive
Professional Counseling Center
NPI 1477821791 · Substance Use Disorder Rehabilitation Clinic/Center · Minnetonka, MN
Provider details
- NPI number
- 1477821791
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Northern Integrated Health Inc
- Organization subpart
- Yes
- Authorized official
- Sarah Grill, Office Manager(952) 548-9340
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
12450 Wayzata Blvd Ste 202
Minnetonka, MN 55305-1927
Phone: (952) 548-9340
Fax: (952) 548-9350
Street-level locationGet directions
Mailing address
12450 Wayzata Blvd Ste 202
Minnetonka, MN 55305-1927
Registry dates
- Enumerated
- 2011-12-01
- Last updated
- 2011-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.