Midwest Autism and Therapy Center of Iowa, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MIDWEST AUTISM AND THERAPY CENTER OF IOWA, LLC

Doing business as

Midwest Autism and Therapy Center of Minnesota

Practice address

748 Bielenberg Dr Ste 140
Woodbury, MN 55125-1407

Phone

(515) 446-2075

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

MIDWEST AUTISM AND THERAPY CENTER OF IOWA, LLCAs reported in NPPES

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

Authorized official

Name

Rachael Morasky

Title

Manager

Phone

(775) 342-5817

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Autism and Therapy Center of Minnesota Doing business as

Electronic endpoints 1

Tax ID family

Midwest Autism and Therapy Center of Iowa LLC2 organizations share this tax ID, including this one

Part of

Midwest Autism and Therapy Center of Iowa LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Midwest Autism and Therapy Center of Iowa, LLC

  • Behavior Analyst
  • Altoona, IA
  • NPI 1699420083
  NPD tax ID

Locations

Practitioners 2

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.

• Rose E Ludescher

  • Behavior Analyst
  • Minneapolis, MN
  • NPI 1710655485
  NPD
• Courtney Elizabeth Groom

  • Behavior Technician
  • Altoona, IA
  • NPI 1831804202
  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1235856915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 BIELENBERG DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251406",
            "telephone_number": "515-446-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 BIELENBERG DR STE 140",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251407",
            "telephone_number": "515-446-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST AUTISM AND THERAPY CENTER OF IOWA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST AUTISM AND THERAPY CENTER OF IOWA, LLC",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "MORASKY",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-342-5817"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHONE",
            "identifier": "5154463420",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@midwestautismservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "748 Bielenberg Dr",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551251406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Midwest Autism and Therapy Center of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Christine Jensen Meysenburg, CPNP
• Jodi Sharon Michaels, MD
• Travis Scott Michaels, MS, LPCC, NCC
• Marlen Midthune
• Midwest Ancillary Services, Inc (Midwest Hearing)
• Midwest Endodontics, P.a.
• Midwest Eye Laboratories Woodbury LLC
• Midwest Minds Assessment and Therapy, PLLC (Midwest Minds)
• Midwest Surgery Center
• Midwest Surgery Center, LLC (Midwest Surgery Center- Woodbury)

• Behavior Analyst in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.