Organization Active NPI

Kandee Kubat Timmerman, MSW, Licsw, LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1114221926
Registry record updated Jan 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15043 Issued in MN
Legal business name
KANDEE KUBAT TIMMERMAN, MSW, LICSW, LLC
Practice address
745 Germain St
Saint Paul, MN 55106-4245
Phone
(612) 251-1753
NPI assigned
Jan 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2011

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

Authorized official

Name
Kandee Kubat Timmerman, LICSW
Title
Therapist
Phone
(612) 251-1753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15043 MN Primary

Addresses

Primary practice location

745 Germain St
Saint Paul, MN 55106-4245

Mailing address

745 Germain St
Saint Paul, MN 55106-4245
Phone (612) 251-1753

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1114221926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 GERMAIN ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064245",
            "telephone_number": "612-251-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 GERMAIN ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064245",
            "telephone_number": "612-251-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDEE KUBAT TIMMERMAN, MSW, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "TIMMERMAN",
        "authorized_official_first_name": "KANDEE",
        "authorized_official_middle_name": "KUBAT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "612-251-1753",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "15043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.