Caitlin Elizabeth Carr
Individual provider Active NPI Counselor · Medina, MN
NPI 1215656707 · NPPES record last updated Aug 26, 2022
Key facts
- NPI
- 1215656707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 145 Hamel Rd
Medina, MN 55340-9535 - Phone
- (651) 756-9107
- NPI assigned
- Aug 26, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
145 Hamel Rd
Medina, MN 55340-9535
Mailing address
1045 Yellow Brick Rd Apt 118
Chaska, MN 55318-2171
Phone (952) 836-5213
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | caitlin@jtc.org.in | Direct |
Other providers in Medina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.