Evergreen Mental Health Services, Inc

Primary specialty

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

Legal business name

EVERGREEN MENTAL HEALTH SERVICES, INC

Practice address

1380 Energy Park Dr
Saint Paul, MN 55108-5351

Phone

(651) 252-6070

Fax

(651) 252-6071

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Heather Heim

Title

Director of Operations

Phone

(651) 252-6078

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1215659347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 ENERGY PARK DR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085351",
            "telephone_number": "651-252-6070",
            "fax_number": "651-252-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 ENERGY PARK DR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085351",
            "telephone_number": "651-252-6070",
            "fax_number": "651-252-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "HEIM",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "651-252-6078"
    },
    "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": []
}

• Simon Everest
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• Evergreen Health Services PLC
• Evergreen Home Healthcare
• Evergreen Recovery
• Evergreen Recovery Clinical Laboratory
• Sarah Jane Evergreen, LCSW
• Charles Everingham
• Rachel Everson-Fink, CCC-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Paul, MN
• Providers in Saint Paul, 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 Jul 9, 2024; 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.