Active NPI
Christian Recovery Center
- Psychologist
- Golden Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- CHRISTIAN RECOVERY CENTER
- Practice address
- 8441 Wayzata Blvd. Ste 160
Golden Valley, MN 55426 - Phone
- (763) 566-0088
- Fax
- (763) 566-0089
- NPI assigned
- Apr 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa McDonald
- Title
- Executive Director
- Phone
- (763) 231-7602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | MN | Primary |
Addresses
Primary practice location
8441 Wayzata Blvd. Ste 160
Golden Valley, MN 55426
Mailing address
8441 Wayzata Blvd. Ste 160
Golden Valley, MN 55426
Phone (763) 566-0088
Other names 1
- Christian Recovery Counseling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060215000110 | MN | Part B Supplier - Clinic/Group Practice | 9638184468 |
Receives reassigned benefits from 13 practitioners Practice locations: Golden Valley, MN |
National Provider Directory
National Provider Directory- Tax ID family
- Christian Recovery Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Counselor
- Brooklyn Center, MN
- NPI 1831213420
-
- Community/Behavioral Health Agency
- Golden Valley, MN
- NPI 1659627347
Locations
8441 Wayzata Blvd
Ste 120
Golden Valley, MN 55426
Phone (763) 546-6000
6120 Earle Brown Dr
Ste 200
Minneapolis, MN 55430
Phone (763) 566-0088
8441 Wayzata Blvd
Ste 160
Minneapolis, MN 55426
Phone 7635660088 ext. 113
8401 Wayzata Blvd
Ste 340
Minneapolis, MN 55426
Phone (763) 556-0088
8340 Bridge St
Rockford, MN 55373
Phone (763) 233-6800
514 Saint Peter St
Ste 290
Saint Paul, MN 55102
Phone (763) 566-0088
Practitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Minnetonka, MN
- NPI 1033445556
MN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1003879164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8441 WAYZATA BLVD. STE 160",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "55426",
"telephone_number": "763-566-0088",
"fax_number": "763-566-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8441 WAYZATA BLVD. STE 160",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "55426",
"telephone_number": "763-566-0088",
"fax_number": "763-566-0089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-10",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "763-231-7602",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Christian Recovery Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.