NPIMap

Organization Active NPI

Therapy Outfitters, Inc.

Doing business as Therapy Outfitters

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Excelsior, MN
National Provider Identifier
1215609086
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THERAPY OUTFITTERS, INC.
Doing business as
Therapy Outfitters
Practice address
5725 Echo Rd
Excelsior, MN 55331-2934
Phone
(612) 327-1211
NPI assigned
Sep 30, 2021
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Stacy Bednar, MA, LPCCNPI 1619510245
Title
Founder
Phone
(612) 327-1211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5725 Echo Rd
Excelsior, MN 55331-2934

Mailing address

5725 Echo Rd
Excelsior, MN 55331-2934
Phone (612) 327-1211

Other names 1

  • Therapy Outfitters Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1215609086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 ECHO RD",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553312934",
            "telephone_number": "612-327-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 ECHO RD",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553312934",
            "telephone_number": "612-327-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY OUTFITTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "BEDNAR",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "612-327-1211",
        "authorized_official_credential": "MA, LPCC"
    },
    "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": "Therapy Outfitters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.