Active NPI
Anam Cara Therapies, PLLC
- Community/Behavioral Health Agency
- Minneapolis, MN
National Provider Identifier
1245504091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 8909
- Legal business name
- ANAM CARA THERAPIES, PLLC
- Practice address
- 3646 14TH Ave S
Minneapolis, MN 55407-2712 - Phone
- (612) 462-3812
- Fax
- (612) 573-6682
- NPI assigned
- Feb 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cara Lynn Carlson, PH.D., MSW, LICSW
- Title
- Clinical Director and Therapist
- Phone
- (612) 462-3812
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 8909 | MN | Primary |
Addresses
Primary practice location
3646 14TH Ave S
Minneapolis, MN 55407-2712
Mailing address
3646 14TH Ave S
Minneapolis, MN 55407-2712
Phone (612) 462-3812
Other names 1
- Anam Cara Therapies
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150623001197 | MN | Part B Supplier - Clinic/Group Practice | 9436460060 |
Receives reassigned benefits from 4 practitioners Practice locations: Minneapolis, MN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Minneapolis, MN
- NPI 1679239966
-
- Professional Counselor
- Minneapolis, MN
- NPI 1235628710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434499200000",
"number": "1245504091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3646 14TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554072712",
"telephone_number": "612-462-3812",
"fax_number": "612-573-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3646 14TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554072712",
"telephone_number": "612-462-3812",
"fax_number": "612-573-6682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANAM CARA THERAPIES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-25",
"last_updated": "2015-06-17",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "CARA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR AND THERAPIST",
"authorized_official_telephone_number": "612-462-3812",
"authorized_official_credential": "PH.D., MSW, LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "8909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anam Cara Therapies",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.