Complementary Support Services

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

COMPLEMENTARY SUPPORT SERVICES

Practice address

6701 Penn Ave S
Suite #301
Richfield, MN 55423-2093

Phone

(952) 895-1730

NPI assigned

Jul 28, 2006

Last updated

Aug 22, 2020By 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

Teri Dimond, LICSWNPI 1225010788

Title

Executive Director

Phone

(952) 895-1730

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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.

• Teri Dimond, LICSW

  • Clinical Social Worker
  • Richfield, MN
  • NPI 1225010788
  Authorized official Same address or phone

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174537823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 PENN AVE S",
            "address_2": "SUITE #301",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 PENN AVE S",
            "address_2": "SUITE #301",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232093",
            "telephone_number": "952-895-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEMENTARY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMOND",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "952-895-1730",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CLD - Richfield MN, LLC (Clear Lakes Dental - Richfield)
• Timothy Lamar Coats Jr. Jr.
• Sara M Colarusso, DDS
• Dana Collins, LMT
• Complementary Support Services
• Complete Chiropractic and Wellness, PA
• Context Psychotherapy LLC
• Charnea Cook-Gregory
• Josh Cook, LICSW
• Emma Luisa Lorayne Coppola

• Voluntary or Charitable Agency in Richfield, MN
• Providers in Richfield, MN by specialty
• Voluntary or Charitable Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.