Organization Active NPI

Safe Place Safe Passages, LLC

  • Professional Counselor
  • Circle Pines, MN
National Provider Identifier
1164915211
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SAFE PLACE SAFE PASSAGES, LLC
Practice address
49 Central St Ste 2
Circle Pines, MN 55014-1761
Phone
(651) 491-3377
NPI assigned
Jun 13, 2018
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Beth Ann Schumacher, MA, LPCC
Title
Owner
Phone
(651) 491-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

49 Central St Ste 2
Circle Pines, MN 55014-1761

Mailing address

100 Firebarn Rd
Circle Pines, MN 55014-1600
Phone (651) 491-3377

Other practice location 1

5009 Excelsior Blvd Ste 132
Minneapolis, MN 55416-3049
Phone (651) 491-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708003473 MN Part B Supplier - Clinic/Group Practice 2365987997 Receives reassigned benefits from 1 practitioner
Practice locations: Circle Pines, MN; St Louis Park, MN

National Provider Directory

National Provider Directory

Locations

49 Central St
Ste 2
Circle Pines, MN 55014
Phone (651) 491-3377

5009 Excelsior Blvd
Ste 132
St Louis Park, MN 55416
Phone (651) 491-3377

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1164915211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FIREBARN RD",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550141600",
            "telephone_number": "651-491-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CENTRAL ST STE 2",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550141761",
            "telephone_number": "651-491-3377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5009 Excelsior Blvd Ste 132",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554163049",
            "country_code": "US",
            "telephone_number": "651-491-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAFE PLACE SAFE PASSAGES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER",
        "authorized_official_first_name": "BETH ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-491-3377",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circle Pines, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.