Achieve Life Solutions

Key facts

NPI

1013738459

Entity type

Organization (NPI type 2)

Primary specialty

Multi-Specialty Clinic/Center 261QM1300X

Legal business name

ACHIEVE LIFE SOLUTIONS

Practice address

1549 Livingston Ave Ste 108
West Saint Paul, MN 55118-3420

Phone

(612) 227-7170

NPI assigned

Oct 18, 2024

Organization subpart

No

Authorized official

Name

Trizer A Smith NPI 1487255121

Title

Executive Director

Phone

(612) 227-7170

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trizer Smith Clinical Social Worker · Golden Valley, MN · NPI 1487255121
  NPD Authorized official CLINICAL

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 18, 2024.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1013738459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 LIVINGSTON AVE STE 108",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183420",
            "telephone_number": "612-227-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 LIVINGSTON AVE STE 108",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183420",
            "telephone_number": "612-227-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE LIFE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TRIZER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-227-7170"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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