NPIMap

Organization Active NPI

Center for Life Transitions

  • Clinic/Center
  • Saint Cloud, MN
National Provider Identifier
1285198663
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CENTER FOR LIFE TRANSITIONS
Practice address
38 24TH Ave N
Saint Cloud, MN 56303-4340
Phone
(320) 746-0025
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Ms. Roxann J Storms, LICSWNPI 1730527367
Title
Board Chair
Phone
(320) 746-0025

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

38 24TH Ave N
Saint Cloud, MN 56303-4340

Mailing address

38 24TH Ave N
Saint Cloud, MN 56303-4340
Phone (320) 746-0025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200110001647 MN Part B Supplier - Clinic/Group Practice 5193150639 Receives reassigned benefits from 4 practitioners
Practice locations: Saint Cloud, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1285198663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 24TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034340",
            "telephone_number": "320-746-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 24TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034340",
            "telephone_number": "320-746-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LIFE TRANSITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "STORMS",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "320-746-0025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.