Aviva Therapy & Healing

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AVIVA THERAPY & HEALING

Practice address

2637 27TH Ave S Ste 244
Minneapolis, MN 55406-3197

Phone

(612) 888-0897

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Albertine Shain, MSW LICSWNPI 1124756655

Title

Owner

Phone

(609) 610-8343

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Albertine Lara Shain, MSW LICSW

  • Social Worker
  • Minneapolis, MN
  • NPI 1124756655
  NPD Authorized official

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1285320424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 S 6TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 27TH AVE S STE 244",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063197",
            "telephone_number": "612-888-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVA THERAPY & HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "SHAIN",
        "authorized_official_first_name": "ALBERTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-610-8343",
        "authorized_official_credential": "MSW LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrique J Avila III, MD
• Katheleen Avila, M.A. LIC PSYCHOLOGIS
• Emily Aviles, ACNP
• Cheryl R. Avina, M.ED.
• Aviv Health Care, Inc.
• Avivo
• Avivo
• Avivo
• Avivo
• Sreekant Avula, M.D.

• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.