Antwan Player

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CC02361 Issued in MN

Practice address

1325 American Blvd E Ste 5a
Bloomington, MN 55425-1152

Phone

(763) 732-9476

NPI assigned

Jun 2, 2008

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectrum of Light Inc

  • Community/Behavioral Health Agency
  • Bloomington, MN
  • NPI 1679236293
  NPD
• Circles of Care, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Melbourne, FL
  • NPI 1922018431

  Counselor

  NPD (past)

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1326207713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AMERICAN BLVD E STE 5A",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251152",
            "telephone_number": "763-732-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 AMERICAN BLVD E STE 5A",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251152",
            "telephone_number": "763-732-9476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 W Eau Gallie Blvd",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329347213",
            "country_code": "US",
            "telephone_number": "321-728-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLAYER",
        "first_name": "ANTWAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "CC02361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasid Pino Gutierrez
• Pioneer Home Care Limited
• Sophia Pirigyi
• Tiffany R. Pirkl, MA, LPCC
• John Edward Pirog, L.AC.
• Darcy Pliego Flores, BS (BACHELORS)
• Bonnie Ann Plocher, FNP
• Paula A Ploetz, MA, LMFT
• PM Telehealth Services
• Anna Leigh Podein

• Counselor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.