Rum River Counseling, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

RUM RIVER COUNSELING, INC.

Practice address

1875 Station Pkwy NW Ste 100
Andover, MN 55304-3319

Phone

(763) 482-9598

Fax

(612) 235-6447

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Holdredge, M.A., L.M.F.T.NPI 1932164340

Title

Owner

Phone

(763) 482-9598

Specialties & licenses 5

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 77

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

• Jennifer Holdredge, M.A., L.M.F.T.

  • Marriage & Family Therapist
  • Andover, MN
  • NPI 1932164340
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Bauman, M.A. L.P.C.C.

  • Mental Health Counselor
  • Andover, MN
  • NPI 1598824500
  Medicare reassignment Care Compare group NPD
• Kimberly Bauman

  • Clinical Social Worker
  • Blaine, MN
  • NPI 1114330248
  Medicare reassignment Care Compare group NPD
• Katie Beedle

  • Addiction (Substance Use Disorder) Counselor
  • Blaine, MN
  • NPI 1912504432
  Medicare reassignment Care Compare group NPD
• Julie Marie Boelke, MA LPCC

  • Mental Health Counselor
  • Andover, MN
  • NPI 1982101028
  Medicare reassignment Care Compare group NPD
• Ondrea Lee Bryans, MS LMFT

  • Marriage & Family Therapist
  • Plymouth, MN
  • NPI 1275124117
  Medicare reassignment Care Compare group NPD
• Anna Ellis, MA, LADC, LPCC

  • Mental Health Counselor
  • Andover, MN
  • NPI 1679232136
  Medicare reassignment Care Compare group NPD
• Lynn Heidemann, LICSW

  • Clinical Social Worker
  • Blaine, MN
  • NPI 1285970004
  Medicare reassignment Care Compare group NPD
• Jeffrey Ronald Hoffman, LPCC

  • Professional Counselor
  • Andover, MN
  • NPI 1881243723
  Medicare reassignment Care Compare group NPD
• Sheila Lynn Kosek, LICSW

  • Clinical Social Worker
  • Andover, MN
  • NPI 1164481974
  Medicare reassignment Care Compare group NPD
• Andrea Lane

  • Addiction (Substance Use Disorder) Counselor
  • Andover, MN
  • NPI 1760082143
  Medicare reassignment Care Compare group NPD
• Phillip Martin, M.A

  • Mental Health Counselor
  • Andover, MN
  • NPI 1497108898
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1073578472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 STATION PKWY NW STE A",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043318",
            "telephone_number": "612-382-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 STATION PKWY NW STE 100",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043319",
            "telephone_number": "763-482-9598",
            "fax_number": "612-235-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUM RIVER COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-11",
        "status": "A",
        "authorized_official_last_name": "HOLDREDGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-482-9598",
        "authorized_official_credential": "M.A., L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "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": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "102200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "178H8RU",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827933000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "053N2RU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "190G6RU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Andover, MN
• Providers in Andover, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.