HEADWAY EMOTIONAL HEALTH SERVICES (NPI# 1386728228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386728228 |
Entity Type | Organization |
Organization Name | HEADWAY EMOTIONAL HEALTH SERVICES |
Other Organization Name | THE STOREFRONT GROUP |
Practice Address |
6425 Nicollet Ave Richfield MN 55423-1668 |
Practice Telephone | 6128611675 |
Practice Fax Number | 6128613446 |
Mailing Telephone | 6128611675 |
Mailing Fax Number | 6128613446 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2011-09-02 |
Authorized Official Name | PATRICK DALE (CEO) |
Authorized Official Telephone | 6128611675 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | MN | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 875055600 | 05 |
Other Name | Type Code |
---|---|
The Storefront Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699176081 | Headway Emotional Health Services | Social Worker | 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 | 2014-09-04 |
1326448267 | Headway Emotional Health Services | Community/Behavioral Health | 4819 W 126th St, Savage, MN 55378-1348 | 2014-08-28 |
Street Address |
6425 NICOLLET AVE |
City | RICHFIELD |
State | MN |
Zip Code | 55423-1668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568430312 | Francis S. Tougas | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1668 | 2006-03-09 |
1124640958 | Marina Himmer | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2020-05-14 |
1093356297 | Jenna Marandon Soderbeck | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2019-09-30 |
1194380774 | Jane Dorothea Miller | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2019-05-08 |
1285106047 | Maria Larue Anderson | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-12-18 |
1912472598 | Erin Christa Shannon | Social Worker | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-10-10 |
1376027367 | Jonathan Lewis | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-09-17 |
1487176590 | Michael John Landgren | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2017-07-10 |
1427595628 | Mi Ki Leong | Marriage & Family Therapist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2017-01-25 |
1063863991 | Kelly Sternhagen | Social Worker | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2016-06-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
Find all providers in zip 55423 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760862288 | Richfield Behavioral Health | Community/Behavioral Health | 635 N Main St Unit 669, Richfield, UT 84701-1895 | 2015-06-01 |
1649564188 | Blue Iris Therapy, Pllc | Community/Behavioral Health | 6437 Lyndale Ave S, Suite 101, Richfield, MN 55423-1465 | 2011-06-01 |
1194958645 | New Perspectives Behaviroal Health Systems | Community/Behavioral Health | 6427 Penn Ave S, Richfield, MN 55423-1142 | 2009-09-01 |
1013449073 | Hartley Counseling Services, LLC | Community/Behavioral Health | 6607 18th Ave S, 101, Richfield, MN 55423-2784 | 2017-03-29 |
1154863918 | Lindseyjohnsonlmft | Community/Behavioral Health | 6636 Cedar Ave S, Suite 380, Richfield, MN 55423-2705 | 2016-11-10 |
1932596574 | Angela K Saeger, LLC | Community/Behavioral Health | 6636 Cedar Ave S, Suite 380, Richfield, MN 55423-2705 | 2015-04-21 |
1285841072 | Blue Iris Center for Therapeutic Services | Community/Behavioral Health | 6607 18th Ave S, Suite 201, Richfield, MN 55423-2784 | 2007-05-17 |
1831313436 | Life Included | Community/Behavioral Health | 160 S Main St, Richfield, UT 84701-2557 | 2007-04-13 |
1407944408 | Insights and Positive Alternatives Corporation | Community/Behavioral Health | 108 N Main St, Richfield, UT 84701-2168 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.