Active NPI
Encompass Integrative Health, LLC
- Clinical Psychologist
- Elk River, MN
National Provider Identifier
1023608254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- ENCOMPASS INTEGRATIVE HEALTH, LLC
- Practice address
- 19230 Evans St NW Ste 109
Elk River, MN 55330-1079 - Phone
- (952) 232-6054
- Fax
- (952) 232-6350
- NPI assigned
- Jan 21, 2021
- Last updated
- Jan 2, 2023
- 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
- Rebecca Fischer, PSYD, LP
- Title
- Co Owner
- Phone
- (715) 497-6802
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
19230 Evans St NW Ste 109
Elk River, MN 55330-1079
Mailing address
19230 Evans St NW Ste 109
Elk River, MN 55330-1079
Phone (952) 232-6054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Elk River, MN
- NPI 1326371246
-
- Mental Health Counselor
- St Louis Park, MN
- NPI 1609486349
-
- Psychiatric/Mental Health Nurse Practitioner
- Edina, MN
- NPI 1720653652
Single Specialty
-
- Clinical Psychologist
- Elk River, MN
- NPI 1760790828
-
- Podiatrist
- Elk River, MN
- NPI 1538160551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672617600000",
"number": "1023608254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19230 EVANS ST NW STE 109",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301079",
"telephone_number": "952-232-6054",
"fax_number": "952-232-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19230 EVANS ST NW STE 109",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301079",
"telephone_number": "952-232-6054",
"fax_number": "952-232-6350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENCOMPASS INTEGRATIVE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-21",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A",
"authorized_official_last_name": "FISCHER",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "715-497-6802",
"authorized_official_credential": "PSYD, LP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.