Harvodes Bereavement and Loss Center, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12688 Issued in MN

Legal business name

HARVODES BEREAVEMENT AND LOSS CENTER, INC

Practice address

2700 1St St N Ste 103
Saint Cloud, MN 56303-4202

Phone

(320) 259-7706

Fax

(320) 251-4590

NPI assigned

Sep 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Billy Anderson, MA, MA, PHDNPI 1033286414

Title

Founder/Mental Health Clinican

Phone

(320) 259-7706

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Billy M Anderson, LICSW, LADC, LPCC

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1033286414

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1053569798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 1ST ST N STE 103",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034202",
            "telephone_number": "320-259-7706",
            "fax_number": "320-251-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 1ST ST N STE 103",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034202",
            "telephone_number": "320-259-7706",
            "fax_number": "320-251-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVODES BEREAVEMENT AND LOSS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-07",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "FOUNDER/MENTAL HEALTH CLINICAN",
        "authorized_official_telephone_number": "320-259-7706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MA, PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300215",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE/MINNESOTA CARE",
            "identifier": "347720700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Hart
• Patricia R Hart, CNP
• Richard Hart, M.D.
• Megan Alexandra Hartman, CMT
• Alisha Hartmann, LPN
• Thaer Hasan, NP
• John G Hasbrouck, OD
• Nema Hashi
• Rahma Hashi
• Hanan Hashim

• Clinical Social Worker in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.