Organization Active NPI

Therapeutic Connections

  • Community/Behavioral Health Agency
  • Blaine, MN
National Provider Identifier
1174974653
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CC01240 Issued in MN
Legal business name
THERAPEUTIC CONNECTIONS
Practice address
4255 Pheasant Ridge Dr NE
412
Blaine, MN 55449-4537
Phone
(763) 317-6222
Fax
(763) 307-3835
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Ashley Rose Krantz, LPCC
Title
Ceo
Phone
(651) 528-1816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CC01240 MN Primary

Addresses

Primary practice location

4255 Pheasant Ridge Dr NE
412
Blaine, MN 55449-4537

Mailing address

5865 311TH St
Stacy, MN 55079-9252
Phone (651) 528-1816

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1174974653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 311TH ST",
            "city": "STACY",
            "state": "MN",
            "postal_code": "550799252",
            "telephone_number": "651-528-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 PHEASANT RIDGE DR NE",
            "address_2": "412",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494537",
            "telephone_number": "763-317-6222",
            "fax_number": "763-307-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "KRANTZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-528-1816",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "CC01240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.