MEDICARE: LUTHERAN COUNSELING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	MN
2	103TF0000X	Family Psychologist	MN
3	1041C0700X	Clinical Social Worker	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27055	OTHER	MN	HEALTH PARTERS GROUP

General Provider Information

NPI Number	:	1861588253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUTHERAN COUNSELING CENTER

Provider Business Mailing Address
First Line	:	1523 HIGHWAY 13 E
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-2917
Country	:	US
Telephone Number	:	952-894-4828
Fax Number	:	952-894-3737

Provider Business Practice Location Address
First Line	:	1523 HIGHWAY 13 E
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-2917
Country	:	US
Telephone Number	:	952-894-4828
Fax Number	:	952-894-3737

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/CEO
Name	:	JOHN E CHORBA
Credential	:
Telephone Number	:	952-894-4828

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	09/11/2025

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Directions to “LUTHERAN COUNSELING CENTER ” Practice Location

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