Organization Active NPI

Being

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1124384854
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18483 Issued in MN
Legal business name
BEING
Practice address
871 Jefferson Ave
Saint Paul, MN 55102-2506
Phone
(651) 456-8912
Fax
(855) 407-1613
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Jeffrey Raich
Title
Authorized Official
Phone
(651) 456-8912

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 18483 MN Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

871 Jefferson Ave
Saint Paul, MN 55102-2506

Mailing address

871 Jefferson Ave
Saint Paul, MN 55102-2506
Phone (514) 568-9126

Other practice location 1

11070 Bailey Rd
Woodbury, MN 55129-9692
Phone (651) 456-8912

Other practice location 2

4748 Chicago Ave Ste 5
Minneapolis, MN 55407-4320
Phone (651) 456-8912

Other identifiers 1

IdentifierTypeStateIssuer
1124384854MedicaidMN

National Provider Directory

National Provider Directory

Locations

4748 Chicago Ave
Ste 5
Minneapolis, MN 55407
Phone (651) 408-5069

889 Grand Ave
Ste 103
Saint Paul, MN 55105

871 Jefferson Ave
Saint Paul, MN 55102
Phone (612) 424-9983

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1124384854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 JEFFERSON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022506",
            "telephone_number": "514-568-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 JEFFERSON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022506",
            "telephone_number": "651-456-8912",
            "fax_number": "855-407-1613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11070 Bailey Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551299692",
            "country_code": "US",
            "telephone_number": "651-456-8912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4748 Chicago Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554074320",
            "country_code": "US",
            "telephone_number": "651-456-8912",
            "fax_number": "855-407-1613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2022-02-08",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "RAICH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "651-456-8912"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18483",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124384854",
            "state": "MN"
        }
    ],
    "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 Feb 8, 2022; 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.