Volunteers of America of Minnesota

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1163 Issued in MN

Legal business name

VOLUNTEERS OF AMERICA OF MINNESOTA

Doing business as

Volunteers of America of Minnesota Mental Health Clinics

Practice address

5905 Golden Valley Rd
Suite 100
Golden Valley, MN 55422-4463

Phone

(763) 225-4052

Fax

(888) 965-5130

NPI assigned

May 5, 2008

Last updated

Apr 7, 2015By 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

Ms. Athena Mihas

Title

VP Finance

Phone

(952) 945-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Volunteers of America of Minnesota Mental Health Clinics Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Volunteers of America MN/Wi

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Hope, MN
  • NPI 1093769572

  O20050915000161

  Same enrollment
• Volunteers of America MN/Wi

  dba Volunteers of America of Minnesota Mental Health Clinics

  • Community/Behavioral Health Agency
  • New Hope, MN
  • NPI 1548436090

  O20050915000161

  Same enrollment

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.

• Lynn Marie Bloom, LICSW

  • Clinical Social Worker
  • Golden Valley, MN
  • NPI 1255734240
  NPD
• Jana K Dreyzehner, MD

  • Psychiatry Physician
  • Clintwood, VA
  • NPI 1063407773
  NPD

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1174799621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22426 SAINT FRANCIS BLVD",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553039670",
            "telephone_number": "763-753-7310",
            "fax_number": "763-753-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 GOLDEN VALLEY RD",
            "address_2": "SUITE 100",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224463",
            "telephone_number": "763-225-4052",
            "fax_number": "888-965-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "MIHAS",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "952-945-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "1163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694319500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volunteers of America of Minnesota Mental Health Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariana Villegas Ramirez
• Vitals Aware Services Inc (Vitals)
• Tricia Kay Vogelsang
• Fawn April Vogt, LPCC, LADC
• Derek Robert Volkel, PT, DPT
• Volunteers of America of MN (Volunteers of America Mental Health Clinics)
• Nicholas William Vorpahl, MA, LPCC
• Abram Voyen, D.C.
• Mary Vraney, PHD, LP, LMFT
• David Noer Vraza, LPCC

• Psychologist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.