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 provides Clinical Psychologist services 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 Not confirmed with CMS for 17 years — call before visiting
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

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