Active NPI
Courtney Hartnek
- Behavior Technician
- Saint Louis Park, MN
National Provider Identifier
1346732997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7010 Highway 7
Saint Louis Park, MN 55426-4223 - Phone
- (952) 814-0207
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
7010 Highway 7
Saint Louis Park, MN 55426-4223
Mailing address
1710 Tyler TRL
Saint Cloud, MN 56301-7509
Phone (320) 360-5915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1714 Howard St N
Maplewood, MN 55109-4842
3701 Shoreline Dr
Suite 102a
Wayzata, MN 55391-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Family Therapy LLC | Current | Accepting new patients | |
| Behavioral Dimensions, Inc. | Past | Accepting new patients |
Locations
3701 Shoreline Dr
Ste 102A
Wayzata, MN 55391
Phone (651) 231-7471
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Wayzata, MN
- NPI 1699179994
-
- Cognitive & Behavioral Psychologist
- St Louis Park, MN
- NPI 1831236785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1346732997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 TYLER TRL",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563017509",
"telephone_number": "320-360-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 HIGHWAY 7",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554264223",
"telephone_number": "952-814-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTNEK",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.