LUTHERAN SOCIAL SERVICE OF MINNESOTA (NPI# 1609080290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609080290 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICE OF MINNESOTA |
| Practice Address |
2485 Como Ave Saint Paul MN 55108-1445 |
| Practice Telephone | 8005825260 |
| Practice Fax Number | 6519692303 |
| Mailing Telephone | 8005825260 |
| Mailing Fax Number | 6519692303 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| NPI Deactivation Date | 05/30/2007 |
| NPI Reactivation Date | 2017-02-28 |
| Authorized Official Name | BRIGID PETERSON (CONTROLLER) |
| Authorized Official Telephone | 8005825260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
| 1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
| 1073742383 | Lutheran Social Service of Minnesota | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 198 Penny Lane, Leroy, MN 55951 | 2009-07-08 |
| 1841441854 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 39413 120th St Sw, East Grand Forks, MN 56721-9121 | 2008-10-08 |
| 1588855878 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 28579 Us Highway 10, Springhill Group Home, Detroit Lakes, MN 56501-7308 | 2007-08-05 |
| 1376733659 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 820 Eickhof Blvd, Kairos House, Crookston, MN 56716-2600 | 2007-08-01 |
| 1801968300 | Lutheran Social Service of Minnesota | Counselor | 333 Litchfield Avenue Sw, Willmar, MN 56201-3352 | 2006-11-14 |
| 1295928240 | Lutheran Social Service of Minnesota | Case Management | 211 Holmes St W, Detroit Lakes, MN 56501-3023 | 2007-08-23 |
| 1396938742 | Lutheran Social Service of Minnesota | Case Management | 731 Western Ave, Fergus Falls, MN 56537-4804 | 2007-08-20 |
| 1225221682 | Lutheran Social Service of Minnesota | Case Management | 715 11th St N, Moorhead, MN 56560-2083 | 2007-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | LUTHERAN SOCIAL SERVICE OF MINNESOTA | 424 West Superior St Ste 600, Dduluth, Minnesota 55802 |
| Colorado Business Entities | Lutheran Social Service of Minnesota | 2485 Como Avenue, St. Paul, MN 55108 |
| Iowa Business Entities | LUTHERAN SOCIAL SERVICE OF MINNESOTA | 2485 Como Ave, St Paul, MN 55108 |
| Street Address |
2485 COMO AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| 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 |
|---|---|---|---|---|
| 1619435401 | Aurora Behavioral Health | Community/Behavioral Health | 1821 University Ave W Ste 225, Saint Paul, MN 55104-2895 | 2019-03-11 |
| 1821583295 | Integrate Counseling Pllc | Community/Behavioral Health | 1145 Grand Ave Ste 203, Saint Paul, MN 55105-2629 | 2018-06-27 |
| 1891233565 | Cp Consulting & Research, LLC | Community/Behavioral Health | 2395 University Ave W Ste 200, Saint Paul, MN 55114-1511 | 2017-02-02 |
| 1821533779 | Minneosta Wellness Center LLC | Community/Behavioral Health | 808 Berry St Apt 192, Saint Paul, MN 55114-1082 | 2017-01-02 |
| 1164875670 | Integrated Health | Community/Behavioral Health | 1830 Selby Ave, Saint Paul, MN 55104-6024 | 2016-07-20 |
| 1992150080 | Minnesota Mental Health Center | Community/Behavioral Health | 990 Payne Ave, Saint Paul, MN 55130-3987 | 2016-04-26 |
| 1629437793 | Integrated Health | Community/Behavioral Health | 2030 Saint Clair Ave, Saint Paul, MN 55105-1650 | 2016-02-18 |
| 1679949044 | Elite Recovery LLC | Community/Behavioral Health | 1145 Grand Ave, #101, Saint Paul, MN 55105-2629 | 2015-08-19 |
| 1316321235 | Aide Bilingual Services | Community/Behavioral Health | 914 Fuller Ave, Saint Paul, MN 55104-4741 | 2015-07-10 |
| 1871993832 | Mikemarekcounseling | Community/Behavioral Health | 615 Pascal St N, Saint Paul, MN 55104-2443 | 2014-08-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
Please comment or provide details below to improve the information on LUTHERAN SOCIAL SERVICE OF MINNESOTA.
| 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.