Active NPI
Charles Kaltenberg L.L.C.
- Community/Behavioral Health Agency
- Oakdale, MN
National Provider Identifier
1164067633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHARLES KALTENBERG L.L.C.
- Practice address
- 7200 Hudson Blvd N Ste 107C
Oakdale, MN 55128-6301 - Phone
- (612) 584-9071
- NPI assigned
- Nov 8, 2019
- 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
- Charles Kaltenberg, LMFT
- Title
- Psychotherapist
- Phone
- (612) 584-9071
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
7200 Hudson Blvd N Ste 107C
Oakdale, MN 55128-6301
Mailing address
7200 Hudson Blvd N Ste 107C
Oakdale, MN 55128-6301
Phone (612) 584-9071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205352606 | Other | MN | NPI 1 |
National Provider Directory
National Provider DirectoryLocations
7200 Hudson Blvd N
Ste 107C
Oakdale, MN 55128
Phone (612) 584-9071
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Prescott, WI
- NPI 1205352606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600214400000",
"number": "1164067633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 HUDSON BLVD N STE 107C",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286301",
"telephone_number": "612-584-9071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 HUDSON BLVD N STE 107C",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286301",
"telephone_number": "612-584-9071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES KALTENBERG L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-08",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A",
"authorized_official_last_name": "KALTENBERG",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "612-584-9071",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1",
"identifier": "1205352606",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.