Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maple Grove Counseling Center PA

Organization Psychologist · NPI 1164496071

Maple Grove Counseling Center PA is a Psychologist in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13700 83rd Way Ste 205
Maple Grove, MN 55369-7015
Phone: (763) 494-8699
Fax: (763) 494-8797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP0951 (MN)

Record details

NPI number1164496071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ardith Messicci — Licensed Psychologist Owner · (763) 494-8699
NPI enumeratedFebruary 15, 2006
Last updated in NPPESAugust 22, 2020
Mailing address13700 83rd Way, Ste 205, Maple Grove, MN 55369-7015

Other providers in Maple Grove