Individual provider Active NPI

Courtney Hartnek

  • Behavior Technician
  • Saint Louis Park, MN
National Provider Identifier
1346732997
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
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

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223002797 MN Practitioner - Clinical Social Worker 6406337971 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Lakeshore Family Therapy LLC CurrentSince Feb 20, 2026 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.

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

Verify at the official NPI Registry.