Organization Active NPI

Prairie Care

  • Marriage & Family Therapist
  • Woodbury, MN
National Provider Identifier
1043512593
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 1541 Issued in MN
Legal business name
PRAIRIE CARE
Practice address
7616 Currell Blvd
Woodbury, MN 55125-2290
Phone
(651) 259-9700
Fax
(651) 259-9730
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Sima Derakhshani Seaver, LMFTNPI 1992007058
Title
Therapist
Phone
(651) 259-9700

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT 1541 MN Primary

Addresses

Primary practice location

7616 Currell Blvd
Woodbury, MN 55125-2290

Mailing address

7616 Currell Blvd Ste 100
Woodbury, MN 55125-2295
Phone (651) 259-9700

National Provider Directory

National Provider Directory
Tax ID family
Andrea Rude2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7616 Currell Blvd
Woodbury, MN 55125
Phone (651) 259-9700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1043512593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 CURRELL BLVD STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252295",
            "telephone_number": "651-259-9700",
            "fax_number": "651-259-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CURRELL BLVD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252290",
            "telephone_number": "651-259-9700",
            "fax_number": "651-259-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "SEAVER",
        "authorized_official_first_name": "SIMA",
        "authorized_official_middle_name": "DERAKHSHANI",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "651-259-9700",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "LMFT 1541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.