LITTLE BIRD PSC (NPI# 1447507942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447507942 |
| Entity Type | Organization |
| Organization Name | LITTLE BIRD PSC |
| Practice Address |
48858 Us 71 Laporte MN 56461-4879 |
| Mailing Address |
48858 Us 71 Laporte MN 56461 |
| Practice Telephone | 2187609357 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | DEONNE M. PANSCH (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 2187609357 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
19439 | MN | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
19439 | MN | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
19439 | MN | Ambulatory Health Care Facilities |
| Street Address |
48858 US 71 |
| City | LAPORTE |
| State | MN |
| Zip Code | 56461-4879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487957890 | Teresa Marie Watson | Physical Therapist | 39407 Cty Rd 45, Laporte, MN 56461 | 2010-12-08 |
| 1790867679 | Ind School Dist 306 | Local Education Agency (LEA) | 315 Main St W, Laporte, MN 56461-4659 | 2006-10-19 |
| 1295814796 | Stellher Human Services, Inc. | Community/Behavioral Health | 315 Main St W, Laporte School District #306, Laporte, MN 56461-4659 | 2006-11-03 |
| 1306387485 | Johanna Brouse | Registered Nurse | 28803 450th St, Laporte, MN 56461-4812 | 2017-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160396 | Little Poudre Family Clinic LLC | Clinic/Center | 3817 W County Rd 54g, Laporte, CO 80535 | 2020-10-05 |
| 1619582533 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 749 South St, Laporte, PA 18626-7019 | 2020-09-09 |
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1194228775 | Choice City Home Care LLC | In Home Supportive Care | 3101 Kintzley Ct Unit J, Laporte, CO 80535-9393 | 2018-03-09 |
| 1881117612 | Will M Jones IIi | Day Training, Developmentally Disabled Services | 3317 Post Road, Laporte, CO 80535-0651 | 2017-07-24 |
| 1306387485 | Johanna Brouse | Registered Nurse | 28803 450th St, Laporte, MN 56461-4812 | 2017-03-09 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1821531971 | A Better Today, Inc. | Community/Behavioral Health | 245 Muncy Street, Sullivan County Courthouse, Laporte, PA 18626 | 2016-11-22 |
| 1205247319 | Bethany Suzanne Genevro | Speech-Language Pathologist | 918 Main Street, Laporte, PA 18626 | 2014-05-12 |
| Find all providers in LAPORTE | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697202 | Kids Zone Autism Center Inc | Clinic/Center | 670 Marigold Ter Ne, Fridley, MN 55432-5641 | 2020-10-18 |
| 1568079374 | Midway Counseling Services LLC | Clinic/Center | 1410 9th Ave S Apt 306, Saint Cloud, MN 56301-5787 | 2020-09-25 |
| 1801409099 | Star Autism Center | Clinic/Center | 3333 W Division St Ste 116, Saint Cloud, MN 56301-4548 | 2020-08-26 |
| 1851900484 | Iron Range Behavioral Services LLC | Clinic/Center | 817 S 5th Ave, Virginia, MN 55792-2804 | 2020-07-29 |
| 1184240103 | Adhd&u | Clinic/Center | 2196 Carter Ave, Saint Paul, MN 55108-1709 | 2020-06-25 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1659906071 | Amoud Center Inc | Clinic/Center | 1925 Portland Ave, Minneapolis, MN 55404-2713 | 2020-03-05 |
| 1164055026 | Moonlight Support Services LLC | Clinic/Center | 3110 Old Hwy 8, 206, Roseville, MN 55113-5511 | 2020-02-19 |
| 1285279554 | Metro Therapy Center Inc | Clinic/Center | 2520 Pillsbury Ave S Apt 306, Minneapolis, MN 55404-4208 | 2019-11-11 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| Find all providers with the same taxonomy | ||||
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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.