Thestral Therapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THESTRAL THERAPY, LLC

Practice address

7421 Parkview Dr
Saint Paul, MN 55112-4118

Phone

(651) 500-1377

NPI assigned

Sep 16, 2021

Last updated

Sep 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brittney Rademacher, LICSWNPI 1932780996

Title

Owner/Mental Health Therapist

Phone

(651) 500-1377

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittney Rademacher, LICSW

  • Clinical Social Worker
  • Blaine, MN
  • NPI 1932780996
  Authorized official Same address or phone

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1154091502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 PARKVIEW DR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551124118",
            "telephone_number": "651-500-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 PARKVIEW DR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551124118",
            "telephone_number": "651-500-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THESTRAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "RADEMACHER",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "651-500-1377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy Partners, Inc.
• Therapy Partners, Inc.
• Therapy World Inc
• Jill M Therien, MD
• Carol Thersleff, N.P.
• Amanda Thibodeau, RN, PHN
• Kaitlin Thiel, MD
• Matthew Malachy Thielman, D.O.
• Todd Eric Thierer, D.D.S.
• Alexandra Bonyata Thimell, MSW, LICSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.