Forensic Mental Health Specialists

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FORENSIC MENTAL HEALTH SPECIALISTS

Practice address

4505 White Bear Pkwy Ste 1400
White Bear Lake, MN 55110-3691

Phone

(763) 333-8001

Fax

(651) 925-0267

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Leigha Scholtz, LGSW

Title

Clinical Therapist

Phone

(763) 333-8001

Specialties & licenses 1

Addresses

Other names 1

• Emergence Behavioral Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Keel Peton, MSW, LGSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1811510332
  NPD (past)

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1215512199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 WHITE BEAR PKWY STE 1400",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103691",
            "telephone_number": "763-333-8001",
            "fax_number": "651-925-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 WHITE BEAR PKWY STE 1400",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103691",
            "telephone_number": "763-333-8001",
            "fax_number": "651-925-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC MENTAL HEALTH SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHOLTZ",
        "authorized_official_first_name": "LEIGHA",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "763-333-8001",
        "authorized_official_credential": "LGSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergence Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Florence, MD
• Katelynn Marie Flottmeier
• Stephanie Irene Footh
• For Your Well Being Chiropractic, Inc
• For Your Well Being Chiropractic, S.C.
• Erin Ernestine Forsman, M.S.W., LICSW
• Francine Fox
• Rebecca R Fraenkel, LP
• Elaine M Francis, MD
• Alex Thomas Fredrickson, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.