Organization Active NPI

Ripple Effect Mental Health LLC

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1245082817
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RIPPLE EFFECT MENTAL HEALTH LLC
Practice address
5275 Edina Industrial Blvd Ste 220
Edina, MN 55439-2903
Phone
(608) 498-8494
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Tanner Zimmerman, LMFTNPI 1437750056
Title
President
Phone
(608) 498-8494

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5275 Edina Industrial Blvd Ste 220
Edina, MN 55439-2903

Mailing address

5275 Edina Industrial Blvd Ste 220
Edina, MN 55439-2903

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": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1245082817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392903",
            "telephone_number": "608-498-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPPLE EFFECT MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-498-8494",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.