NPIMap

Organization Active NPI

Centered Practice

  • Community/Behavioral Health Agency
  • Northfield, MN
National Provider Identifier
1235428665
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
14866 Issued in MN
Legal business name
CENTERED PRACTICE
Practice address
401 Division St S
Suite C
Northfield, MN 55057-2095
Phone
(507) 649-7294
NPI assigned
Apr 6, 2011
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Carrie H Menk, LICSWNPI 1881814895
Title
Owner/Therapist
Phone
(507) 649-7294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 14866 MN Primary

Addresses

Primary practice location

401 Division St S
Suite C
Northfield, MN 55057-2095

Mailing address

401 Division St S
Suite C
Northfield, MN 55057-2095
Phone (507) 649-7294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111116000350 MN Part B Supplier - Clinic/Group Practice 8527232198 Receives reassigned benefits from 9 practitioners
Practice locations: Northfield, MN

National Provider Directory

National Provider Directory

Locations

1619 Dayton Ave
Ste 303
Saint Paul, MN 55104
Phone (651) 605-6020

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1235428665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST S",
            "address_2": "SUITE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572095",
            "telephone_number": "507-649-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST S",
            "address_2": "SUITE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572095",
            "telephone_number": "507-649-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "MENK",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "507-649-7294",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "14866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.