Moving Forward Assessment Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1059098-1-CDT Issued in MN

Legal business name

MOVING FORWARD ASSESSMENT SERVICES

Practice address

950 County Highway 10
108
Spring Lake Park, MN 55432-1253

Phone

(763) 355-5092

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Kelly Summers, LADCNPI 1912217480

Title

Owner/ Ceo.

Phone

(763) 355-5092

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.

• Kelly Summers, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Spring Lake Park, MN
  • NPI 1912217480
  NPD (past) Authorized official

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1215226212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COUNTY HIGHWAY 10",
            "address_2": "108",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554321253",
            "telephone_number": "763-355-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 COUNTY HIGHWAY 10",
            "address_2": "108",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554321253",
            "telephone_number": "763-355-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING FORWARD ASSESSMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/ CEO.",
        "authorized_official_telephone_number": "763-355-5092",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1059098-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Spring Lake Park, MN
• Providers in Spring Lake Park, 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 Mar 31, 2011; 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.