Healthcare Provider Details

I. General information

NPI: 1508759093
Provider Name (Legal Business Name): NORTHRISE COUNSELING AND THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4162 TOPAZ DR
EAGAN MN
55122-2816
US

IV. Provider business mailing address

14206 170TH ST
MILACA MN
56353-3214
US

V. Phone/Fax

Practice location:
  • Phone: 612-715-9756
  • Fax:
Mailing address:
  • Phone: 612-715-9756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CADE ARTHUR FINN
Title or Position: CO-OWNER
Credential: LMFT, LADC
Phone: 612-715-9756