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

Penticoff Community Counseling, Inc

Organization Clinical Psychologist · NPI 1588896310

Penticoff Community Counseling, Inc is a Clinical Psychologist in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1818 Wooddale Dr Ste 204
Woodbury, MN 55125-2983
Phone: (651) 255-6678
Fax: (651) 501-6091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP-4060 (MN)

Record details

NPI number1588896310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Penticoff — Owner, President · (651) 255-6678
NPI enumeratedAugust 12, 2009
Last updated in NPPESAugust 12, 2009
Mailing addressPo Box 25334, Woodbury, MN 55125-0334

Other providers in Woodbury