Playful Healing, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PLAYFUL HEALING, LLC

Practice address

105 Union St S Ste 3
Mora, MN 55051-1592

Phone

(651) 448-2322

Fax

(651) 448-2322

NPI assigned

Sep 16, 2024

Last updated

Oct 1, 2024By 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

Sara Renee KennedyNPI 1609530716

Title

Owner/Therapist

Phone

(651) 448-2322

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 2

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.

• Sara Renee Kennedy, MSW, LICSW

  • Clinical Social Worker
  • Mora, MN
  • NPI 1609530716
  NPD Authorized official
• Emily Nicole Peysar Funk, LGSW

  • Social Worker
  • Mora, MN
  • NPI 1396543781
  NPD

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1174350078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 RIVERSIDE ST",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511715",
            "telephone_number": "651-448-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 UNION ST S STE 3",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511592",
            "telephone_number": "651-448-2322",
            "fax_number": "651-448-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4255 Pheasant Ridge Drive NW",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "55449",
            "country_code": "US",
            "telephone_number": "651-448-2322",
            "fax_number": "763-703-3725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLAYFUL HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "651-448-2322"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Union St S Ste 3",
            "city": "Mora",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550511592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "procentive.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4255 Pheasant Ridge Drive NW",
            "address_2": "Suite 412",
            "city": "Blaine",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Austin Michael Peterson, OD
• Cassie Peterson, MS, LMFT
• Jennifer Lynn Peterson
• Shane Peterson
• Susan R Peterson
• Natalie Ann Radich
• Jeremiah Scott Randall, PMHNP-BC
• Karen K Rasmusson, NP
• Recovering Hope Treatment Center LLC
• Recovering Hope Treatment Center, Inc.

• Clinical Social Worker in Mora, MN
• Providers in Mora, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.