Namaste Therapy and Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NAMASTE THERAPY AND WELLNESS, LLC

Practice address

12400 Portland Ave Ste 180
Burnsville, MN 55337-6875

Phone

(651) 206-3451

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Rachel Fate, MSW, LICSW

Title

Owner

Phone

(651) 206-3451

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Rachel Beth Brozek, PSYCHOTHERAPIST

  • Clinical Social Worker
  • Burnsville, MN
  • NPI 1912341553
  Medicare reassignment NPD

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1114749835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 OREGON AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163358",
            "telephone_number": "651-206-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 180",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376875",
            "telephone_number": "651-206-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMASTE THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "FATE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-206-3451",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Mize Myers, MD
• Brittany Myles
• Ubah Abdinasir Nadif
• Natalie Nafzger
• Deborah K Nagurski, L.P.
• Lindsay Marie Narayan, LMFT
• Keith Richard Narr, LADC
• James Nasby, DDS MSD
• Thiago Dias Nascimento, DDS
• Navigator Fiduciary and Forensic Services Inc.

• Clinical Social Worker in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.