MERIDIAN BEHAVIORAL HEALTH (NPI# 1992061311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992061311 |
| Entity Type | Organization |
| Organization Name | MERIDIAN BEHAVIORAL HEALTH |
| Practice Address |
135 Colorado St E Saint Paul MN 55107-2244 |
| Practice Telephone | 6124542345 |
| Mailing Telephone | 6124542345 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | MS. MELISSA CAROL HEITZINGER (CHEMICAL DEPENDENCY COUNSELOR) |
| Authorized Official Telephone | 6124542345 |
| Authorized Official Credential | LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 303284 | MN | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770836025 | Meridian Behavioral Health | Clinic/Center | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2012-10-24 |
| 1679864664 | Meridian Behavioral Health | Health Maintenance Organization | 3329 University Ave Se, Minneapolis, MN 55414-3325 | 2011-04-25 |
| 1548551823 | Meridian Behavioral Health | Counselor | 3329 University Ave Se, Minneapolis, MN 55414-3325 | 2011-04-21 |
| 1104943349 | Meridian Behavioral Health | Substance Abuse Rehabilitation Facility | 550 Main St, New Brighton, MN 55112-3271 | 2007-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERIDIAN BEHAVIORAL HEALTHCARE, INC. | 4300 Sw 13th St, Gainesville, FL 32608-4006 |
| Street Address |
135 COLORADO ST E |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55107-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558652925 | Tapestry | Substance Abuse Rehabilitation Facility | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2011-04-20 |
| 1124677372 | Andrea Susan Kofoed | Counselor | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2019-09-10 |
| 1023427226 | Janel Oberg | Substance Abuse Rehabilitation Facility | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2014-08-13 |
| 1740699164 | Laura Pohlman | Counselor | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2014-08-11 |
| 1275949299 | Shannon Swarthout | Substance Abuse Rehabilitation Facility | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2014-07-10 |
| 1275828337 | Seika Noguchi Charpentier | Counselor | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2011-06-16 |
| 1790078517 | Mary Larissa Gorman | Counselor | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2011-05-26 |
| 1982997722 | Connie Lou Bingel Bombenger | Counselor | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2011-05-26 |
| 1801189600 | Terry Rose Katusky | Counselor | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2011-05-26 |
| 1013200856 | Melodee Jean Benson | Counselor | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2011-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1215457890 | Elizabeth Smith Zaremba | Dietitian, Registered | 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 | 2017-06-23 |
| 1619413606 | Elizabeth Burgos | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2017-01-13 |
| 1033561915 | Isetta Pierre | Marriage & Family Therapist | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2016-07-05 |
| Find all providers in zip 55107 | ||||
| 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 | 55107 |
Please comment or provide details below to improve the information on MERIDIAN BEHAVIORAL HEALTH.
| 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.