Organization Active NPI

Journey of the Heart, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eden Prairie, MN
National Provider Identifier
1265951529
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LP0260 Issued in MN
Legal business name
JOURNEY OF THE HEART, INC.
Practice address
11800 Singletree Lane
#312
Eden Prairie, MN 55344
Phone
(612) 251-7998
Fax
(952) 440-9130
NPI assigned
Sep 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Pamela Ruth Rosch, MA, LP, LMFTNPI 1316075104
Title
Owner
Phone
(612) 251-7998

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LP0260 MN Primary

Addresses

Primary practice location

11800 Singletree Lane
#312
Eden Prairie, MN 55344

Mailing address

11800 Singletree LN Ste 312
Eden Prairie, MN 55344-5398
Phone (612) 251-7998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241017001428 MN Part B Supplier - Clinic/Group Practice 2668904400 Receives reassigned benefits from 1 practitioner
Practice locations: Prior Lake, MN

National Provider Directory

National Provider Directory

Locations

15815 Franklin Trl SE
Ste 500
Prior Lake, MN 55372
Phone (612) 251-7998

Practitioners & affiliated clinicians

Practitioners 1

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": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265951529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN STE 312",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445398",
            "telephone_number": "612-251-7998",
            "fax_number": "952-440-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LANE",
            "address_2": "#312",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "612-251-7998",
            "fax_number": "952-440-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY OF THE HEART, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSCH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-251-7998",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LP, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "LP0260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.