Individual provider Active NPI

Natalie Jean Taber, MSW

  • Mental Health Counselor
  • Richfield, MN
National Provider Identifier
1053947077
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
26318 Issued in MN
Practice address
6636 Cedar Ave S Ste 360
Richfield, MN 55423-2712
Phone
(612) 268-5858
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 26318 MN Primary

Addresses

Primary practice location

6636 Cedar Ave S Ste 360
Richfield, MN 55423-2712

Mailing address

7401 Metro Blvd
Ste 250
Edina, MN 55439-3062
Phone (612) 268-5858

Other practice location 1

7401 Metro Blvd Ste 250
Edina, MN 55439-3062
Phone (612) 268-5858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106001849 MN Practitioner - Clinical Social Worker 3375934011 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Affinity Psychological Services PCGroup PAC ID 0749528552, 66 clinicians

Practice addresses (Care Compare)

3400 1St St N
Suite 101
Saint Cloud, MN 56303-1924
Phone (612) 268-5858

7401 Metro Blvd
Suite 250
Edina, MN 55439-3062
Phone (612) 268-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26318MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hamm Memorial Psychiatric Clinic CurrentSince Nov 15, 2021 Accepting new patients
Fairview Express Care CurrentSince Jun 16, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Affinity Psychological Services, P.C. Mental Health CurrentSince Aug 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Jun 16, 2024 Accepting new patients

Locations

7401 Metro Blvd
Ste 250
Minneapolis, MN 55439
Phone (612) 778-8393

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

7401 Metro Blvd
Ste 525
Minneapolis, MN 55439

6636 Cedar Ave S
Ste 360
Richfield, MN 55423
Phone (612) 998-8934

3400 1st St N
Ste 101
Saint Cloud, MN 56303
Phone (320) 202-2000

10 River Park Plz
Ste 710
Saint Paul, MN 55107
Phone (651) 224-0614

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1053947077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD",
            "address_2": "STE 250",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393062",
            "telephone_number": "612-268-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 CEDAR AVE S STE 360",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232712",
            "telephone_number": "612-268-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Metro Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554393062",
            "country_code": "US",
            "telephone_number": "612-268-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABER",
        "first_name": "NATALIE",
        "middle_name": "JEAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "26318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

Verify at the official NPI Registry.