Active NPI
Patricia Marie Mehrhoff, MSW
- Clinical Social Worker
- Burnsville, MN
National Provider Identifier
1124053756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15640
- Practice address
- 760 Southcross Dr. W.
Suite 103
Burnsville, MN 55306 - Phone
- (952) 835-5090
- Fax
- (952) 835-5090
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15640 | MN | Primary |
Addresses
Primary practice location
760 Southcross Dr. W.
Suite 103
Burnsville, MN 55306
Mailing address
760 Southcross Dr. W. Suite 103
The Therapy Shop
Burnsville, MN 55306
Phone (952) 835-5090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 446702700 | Medicaid | MN |
Other names 1
- Particia Marie Pyfferoen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15640 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Clinical | Past | Accepting new patients |
| Family Support Services Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1124053756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 SOUTHCROSS DR. W. SUITE 103",
"address_2": "THE THERAPY SHOP",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "55306",
"telephone_number": "952-835-5090",
"fax_number": "952-835-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 SOUTHCROSS DR. W.",
"address_2": "SUITE 103",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "55306",
"telephone_number": "952-835-5090",
"fax_number": "952-835-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHRHOFF",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "15640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "446702700",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PARTICIA",
"last_name": "PYFFEROEN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.