Organization Active NPI

Helena Family Support

  • Marriage & Family Therapist
  • Fridley, MN
National Provider Identifier
1235216151
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1111 Issued in MN
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

Updated by the provider on Mar 17, 2018

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
206947400MedicaidMN
108336MedicaidMI
144M8HEOtherMNBLUE CROSS BLUE SHIELD
031031005MedicaidMN
131879MedicaidMN

Other names 1

  • Helena Family Support Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.