Organization Active NPI

Steven C Severson Psychotherapy, LLC.

  • Community/Behavioral Health Agency
  • Shakopee, MN
National Provider Identifier
1134588122
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STEVEN C SEVERSON PSYCHOTHERAPY, LLC.
Practice address
8170 Old Carriage CT
Ste 241
Shakopee, MN 55379-3163
Phone
(952) 683-1562
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Steven Severson, LGSWNPI 1780060129
Title
Ceo/Psychotherapist
Phone
(952) 683-1562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MN Primary

Addresses

Primary practice location

8170 Old Carriage CT
Ste 241
Shakopee, MN 55379-3163

Mailing address

13245 Findlay Ave
Apple Valley, MN 55124-8142
Phone (952) 683-1562

National Provider Directory

National Provider Directory

Locations

8170 Old Carriage Ct
Ste 241
Shakopee, MN 55379
Phone (651) 341-4311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1134588122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 FINDLAY AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248142",
            "telephone_number": "952-683-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 OLD CARRIAGE CT",
            "address_2": "STE 241",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793163",
            "telephone_number": "952-683-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN C SEVERSON PSYCHOTHERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "952-683-1562",
        "authorized_official_credential": "LGSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.