Realize More: Psychotherapy, Consultation, and Coaching

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

25252 Issued in MN

Legal business name

REALIZE MORE: PSYCHOTHERAPY, CONSULTATION, AND COACHING

Practice address

2637 27TH Ave S Ste 231
Minneapolis, MN 55406-3196

Phone

(503) 528-4033

NPI assigned

May 4, 2018

Organization subpart

No

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

Authorized official

Name

Lisa L Moore, MSWNPI 1336462324

Title

Owner

Phone

(612) 234-1223

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lisa Lynelle Moore, MSW, LICSW, PHD

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1336462324
  NPD (past) Authorized official

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1174012181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 LIBERTY CT",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572915",
            "telephone_number": "503-528-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 27TH AVE S STE 231",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063196",
            "telephone_number": "503-528-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALIZE MORE: PSYCHOTHERAPY, CONSULTATION, AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-234-1223",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "25252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darek Reader
• Diana Reader, PT, DPT
• Ready Set Smile PA
• Kathleen Reagles, CRNA
• Real Therapy and Consulting PLLC
• George M Realmuto, MD
• Brian S Reardon, P.T.
• Kelsey Reardon
• Robert Reardon, MD
• Sandra Haukom Reardon, LICSW

• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, 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 May 4, 2018; 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.