Active NPI
Helena Family Support
- Marriage & Family Therapist
- Fridley, MN
National Provider Identifier
1235216151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1111
- Legal business name
- HELENA FAMILY SUPPORT
- Practice address
- 5301 E River Rd Ste 110
Fridley, MN 55421-3778 - Phone
- (763) 432-3926
- Fax
- (763) 432-3926
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Sharkey, LMFT
- Title
- Director
- Phone
- (952) 484-4885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1111 | MN | Primary |
Addresses
Primary practice location
5301 E River Rd Ste 110
Fridley, MN 55421-3778
Mailing address
13537 Windyhill Rd
Minnetonka, MN 55305-1011
Other practice location 1
13537 Windyhill Rd
Minnetonka, MN 55305-1011
Phone (952) 484-8488
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206947400 | Medicaid | MN | |
| 108336 | Medicaid | MI | |
| 144M8HE | Other | MN | BLUE CROSS BLUE SHIELD |
| 031031005 | Medicaid | MN | |
| 131879 | Medicaid | MN |
Other names 1
- Helena Family Support
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Minnetonka, MN
- NPI 1295731024
-
- Marriage & Family Therapist
- Maple Grove, MN
- NPI 1346497468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1235216151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13537 WINDYHILL RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E RIVER RD STE 110",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554213778",
"telephone_number": "763-432-3926",
"fax_number": "763-432-3926"
}
],
"practiceLocations": [
{
"address_1": "13537 Windyhill Rd",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553051011",
"country_code": "US",
"telephone_number": "952-484-8488",
"fax_number": "952-525-0702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HELENA FAMILY SUPPORT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "SHARKEY",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "952-484-4885",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206947400",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108336",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "144M8HE",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031031005",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131879",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Helena Family Support",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.