Restorative Path Counseling and Wellbeing

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESTORATIVE PATH COUNSELING AND WELLBEING

Practice address

22426 Cantrel Way
Farmington, MN 55024-4011

Phone

(507) 676-1633

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By 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

Mrs. Athena Marie Diesch-Chham, MSW, LICSWNPI 1508359704

Title

Clinical Social Worker

Phone

(507) 676-1633

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Athena Marie Diesch-Chham, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1508359704
  NPD Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1215607940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22426 CANTREL WAY",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550244011",
            "telephone_number": "507-676-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22426 CANTREL WAY",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550244011",
            "telephone_number": "507-676-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE PATH COUNSELING AND WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "DIESCH-CHHAM",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "507-676-1633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "Online EMR Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22426 Cantrel Way",
            "city": "Farmington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550244011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Provost, RN
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• Curtis John Rapp, DC
• Melissa A Reinhardt, M.D.
• Daniela Renteria
• Cianna Ashley Richardson, DPT
• Lisa Ann Riggs, APRN, CNP
• River Valley Home Care Inc
• River Valley Pca Services, Inc.
• Leanna Robak

• Clinical Social Worker in Farmington, MN
• Providers in Farmington, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.