Active NPI
Joy Hanna Cloutier, PHMNP
- Psychiatric/Mental Health Nurse Practitioner
- Andover, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11261
- Practice address
- 1714 Bunker Lake Blvd NW Ste 108
Andover, MN 55304-4091 - Phone
- (763) 330-2839
- NPI assigned
- Feb 7, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11261 | MN | Primary |
Addresses
Primary practice location
1714 Bunker Lake Blvd NW Ste 108
Andover, MN 55304-4091
Mailing address
1714 Bunker Lake Blvd NW Ste 108
Andover, MN 55304-4091
Phone (763) 330-2839
Other practice location 1
12708 Quaker Ln N
Champlin, MN 55316-1295
Phone (763) 742-0372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240318000528 | MN | Practitioner - Nurse Practitioner | 0547607244 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Innovations Inc
Practice addresses (Care Compare)
1833 3Rd Ave
Anoka, MN 55303-2424
Phone (763) 421-5535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11261 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current | Accepting new patients | |
| Transformation House Inc | Current | Accepting new patients | |
| Transformation House, Inc. | Current | Accepting new patients | |
| Family Support Services Inc. | Past | Accepting new patients |
Locations
1714 Bunker Lake Blvd NW
Ste 100
Andover, MN 55304
Phone (763) 330-2830
1714 Bunker Lake Blvd NW
Ste 108
Andover, MN 55304
Phone (763) 330-2830
1410 S Ferry Rd
Anoka, MN 55303
Phone (763) 427-7155
10729 Town Square Dr NE
Ste 120
Blaine, MN 55449
Phone (763) 200-8248
13045 Falcon Dr
#100
Brainerd, MN 56425
Phone (218) 203-6282
817 Main St N
Cambridge, MN 55008
Phone (763) 325-0300
11660 Round Lake Blvd NW
Coon Rapids, MN 55433
Phone (763) 317-0718
9245 Quantrelle Ave NE
Otsego, MN 55330
Phone (763) 308-8619
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704
101 Dehler Dr
Sartell, MN 56377
Phone (320) 253-3512
Organizations & group practices 5
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.
-
- Substance Abuse Rehabilitation Facility
- Anoka, MN
- NPI 1114143989
-
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1124882519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 BUNKER LAKE BLVD NW STE 108",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553044091",
"telephone_number": "763-330-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 BUNKER LAKE BLVD NW STE 108",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553044091",
"telephone_number": "763-330-2839"
}
],
"practiceLocations": [
{
"address_1": "12708 Quaker Ln N",
"address_purpose": "LOCATION",
"city": "Champlin",
"state": "MN",
"postal_code": "553161295",
"country_code": "US",
"telephone_number": "763-742-0372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLOUTIER",
"first_name": "JOY",
"middle_name": "HANNA",
"credential": "PHMNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "11261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.