Active NPI
Being
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1124384854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18483
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 18483 | MN | Primary |
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124384854 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
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.