MEDICARE: PAWSITIVE PSYCHOTHERAPY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1356296644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAWSITIVE PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	6400 FLYING CLOUD DR STE 180
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3337
Country	:	US
Telephone Number	:	612-504-0456
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 FLYING CLOUD DR STE 180
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3337
Country	:	US
Telephone Number	:	612-504-0456
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MENTAL HEALTH THERAPIST
Name	:	ARIELLA SCHRECK
Credential	:	LPCC
Telephone Number	:	612-504-0456

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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