Individual provider · Type 1 NPI

Mikayla Grace Baker Thorn, LPCC, LADC

Professional Counselor · Fridley, MN

NPI number 1154253243 Active

Practice location

520 Osborne Rd NE Ste 120
Fridley, MN 55432-2753

Call (763) 236-4300 Map

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X307010 (MN)
Mental Health Counselor 101YM0800X5626 (MN)
Professional Counselor Primary 101YP2500X5626 (MN)

Professional Counselor: Definition to come...

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About NPI 1154253243

Mikayla Grace Baker Thorn, LPCC, LADC's National Provider Identifier is 1154253243, issued on Jun 2, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fridley, MN. The record was last updated on Jul 14, 2026.