Individual provider Active NPI

Patricia Marie Mehrhoff, MSW

  • Clinical Social Worker
  • Burnsville, MN
National Provider Identifier
1124053756
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15640 Issued in MN
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

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
446702700MedicaidMN

Other names 1

  • Particia Marie Pyfferoen Former name

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

LicenseStateTypeSpecialty
15640MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD Clinical PastSince Jan 16, 2012 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.

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.

Verify at the official NPI Registry.