Edvisions Off Campus High School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

EDVISIONS OFF CAMPUS HIGH SCHOOL

Practice address

501 Main St
Henderson, MN 56044-7709

Phone

(800) 617-7857

Fax

(866) 665-2752

NPI assigned

Dec 20, 2011

Last updated

Dec 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regina Dobosenski

Title

Co-Director

Phone

(800) 617-7857

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1235408329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "address_2": "501 MAIN STREET",
            "city": "HENDERSON",
            "state": "MN",
            "postal_code": "560440307",
            "telephone_number": "800-617-7857",
            "fax_number": "866-665-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "HENDERSON",
            "state": "MN",
            "postal_code": "560447709",
            "telephone_number": "800-617-7857",
            "fax_number": "866-665-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDVISIONS OFF CAMPUS HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "DOBOSENSKI",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "800-617-7857"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Arnst, MSW, LICSW
• Emily Jean Christenson
• Edvisions Cooperative, Inc.
• Forward Bound Counseling PLLC
• Health Ride Inc
• Henderson Healing Hub, LLC
• Jennifer L Kolter, L.AC.
• Minnesota New Country School

• Local Education Agency (LEA) in Henderson, MN
• Providers in Henderson, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.