NPIMap

Organization Active NPI

Aspire Network Inc Professional Service Corporation Aspire Network

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crystal, MN
National Provider Identifier
1104586874
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ASPIRE NETWORK INC PROFESSIONAL SERVICE CORPORATION ASPIRE NETWORK
Practice address
5701 Kentucky Ave N Ste 100
Crystal, MN 55428-3370
Phone
(763) 202-4767
NPI assigned
Dec 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Mr. Edwin Nyumah Swaray, LADC
Title
Ceo
Phone
(763) 202-4767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5701 Kentucky Ave N Ste 100
Crystal, MN 55428-3370

Mailing address

5701 Kentucky Ave N Ste 100
Crystal, MN 55428-3370
Phone (763) 202-4767

Other names 1

  • Aspire Network Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@aspirenetworkmn.org

National Provider Directory

National Provider Directory

Locations

5701 Kentucky Ave N
Ste 100
Minneapolis, MN 55428
Phone (763) 202-4767

Practitioners & affiliated clinicians

Practitioners 8

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": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1104586874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 KENTUCKY AVE N STE 100",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283370",
            "telephone_number": "763-202-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 KENTUCKY AVE N STE 100",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283370",
            "telephone_number": "763-202-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE NETWORK INC PROFESSIONAL SERVICE CORPORATION ASPIRE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "SWARAY",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "NYUMAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-202-4767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@aspirenetworkmn.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "5701 Kentucky Ave N Ste 100",
            "city": "Crystal",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554283370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aspire Network",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.