Horizons Community Church

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HORIZONS COMMUNITY CHURCH

Practice address

1503 157TH Ave NE
Ham Lake, MN 55304-5658

Phone

(763) 413-8142

Fax

(763) 445-2015

NPI assigned

Apr 4, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Judith Rose Miller, MA,LP

Title

Director/Licensed Psychologist

Phone

(763) 413-8142

Specialties & licenses 1

Addresses

Other names 1

• The Healing Place Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1003172909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 157TH AVE NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553045658",
            "telephone_number": "763-413-8142",
            "fax_number": "763-445-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 157TH AVE NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553045658",
            "telephone_number": "763-413-8142",
            "fax_number": "763-445-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZONS COMMUNITY CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "763-413-8142",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA,LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healing Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ham Lake Dental PA
• Samuel G Hawk, DO
• Healing Artstherapy Services, LLC
• Robert Charles Hoffmann, D.C.
• Valorie Dee Hoffmann, D.C.
• Scott James Imberg, DDS
• Christine Ann Hess Ingbretson, D.C.
• Kristin Kay Ingram
• Interpretive Leadership Inc
• Casssandra Lynn Jahn, DC, AFC OWNER

• Community/Behavioral Health Agency in Ham Lake, MN
• Providers in Ham Lake, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.