Glen Staffan Bjornson, M.A., LP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP2995 Issued in MN

Practice address

7616 Currell Blvd
Suite 290
Woodbury, MN 55125-2290

Phone

(651) 730-7525

Fax

(651) 769-6599

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Bhsi, LLC

  • Clinical Psychologist
  • North Saint Paul, MN
  • NPI 1174635643
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114012697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ARCWOOD RD",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551151833",
            "telephone_number": "651-777-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CURRELL BLVD",
            "address_2": "SUITE 290",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252290",
            "telephone_number": "651-730-7525",
            "fax_number": "651-769-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORNSON",
        "first_name": "GLEN",
        "middle_name": "STAFFAN",
        "credential": "M.A., LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP2995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Minnesota, Inc. (Fresenius Kidney Care Woodbury)
• Jennifer Ann Bischoff, D.C.
• Jeremy Lee Bischoff, D.C.
• Bailey John Biwer, DDS
• Elizabeth West Bizier, MD
• Shane Blackman
• Elise M Blahnik, MA, LMFT
• Sara Jane Blessington, MA
• Regina Lynn Blevins, DDS MS
• Lucy Ann Blissenbach

• Counseling Psychologist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.