Residential Transitions Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RESIDENTIAL TRANSITIONS INCORPORATED

Practice address

750 S Plaza Dr Ste 100
Mendota Heights, MN 55120-1505

Phone

(651) 457-1461

Fax

(651) 455-1385

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Stephen Anthony Delong, LICSWNPI 1114420783

Title

Clinical Director

Phone

(651) 454-6118

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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

• Chrysa Reichel, LGSW

  • Social Worker
  • Mendota Heights, MN
  • NPI 1508548462
  Medicare reassignment Care Compare group NPD
• Justin W Swanson, LICSW

  • Clinical Social Worker
  • Mendota Heights, MN
  • NPI 1053974865
  Medicare reassignment Care Compare group NPD
• Stephen Anthony Delong, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1114420783
  NPD (past) Authorized official

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538870400000",
    "number": "1144725623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S PLAZA DR STE 100",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201505",
            "telephone_number": "651-457-1461",
            "fax_number": "651-455-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S PLAZA DR STE 100",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201505",
            "telephone_number": "651-457-1461",
            "fax_number": "651-455-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL TRANSITIONS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-10-07",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "651-454-6118",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114420783",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ainsley Randall
• Samuel Nathan Ray, RBT
• Chrysa Reichel, LGSW
• Aubrey Joyce Reidt
• Haley Marie Reiter
• Maren Reu
• Michael Owen Richards
• Kristen Rivera, PSY.D
• Riyo International Corporation
• Haley Pearl Roberts

• Community/Behavioral Health Agency in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.