Healthcare Provider Details

I. General information

NPI: 1881568798
Provider Name (Legal Business Name): COUNSELING COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 TOWN CENTRE DR STE 203
EAGAN MN
55123-1370
US

IV. Provider business mailing address

13943 HOLYOKE CT
APPLE VALLEY MN
55124-9466
US

V. Phone/Fax

Practice location:
  • Phone: 612-352-8507
  • Fax: 651-461-9276
Mailing address:
  • Phone: 612-352-8507
  • Fax: 651-461-9276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KELSEY REHOME-PEYMANN
Title or Position: PROFESSIONAL CLINICAL COUNSELOR
Credential: LPCC
Phone: 612-720-9746