Active NPI
Marigold Professional Service Corporation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minneapolis, MN
National Provider Identifier
1356061006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MARIGOLD PROFESSIONAL SERVICE CORPORATION
- Practice address
- 3513 Tyler St NE
Minneapolis, MN 55418-1330 - Phone
- (612) 703-3743
- NPI assigned
- Sep 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison L Needham, LMFT
- Title
- Owner/Ceo
- Phone
- (612) 703-3743
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3513 Tyler St NE
Minneapolis, MN 55418-1330
Mailing address
3513 Tyler St NE
Minneapolis, MN 55418-1330
Phone (612) 703-3743
Other names 1
- Marigold Inc.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Minneapolis, MN
- NPI 1396182614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1356061006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3513 TYLER ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554181330",
"telephone_number": "612-703-3743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3513 TYLER ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554181330",
"telephone_number": "612-703-3743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIGOLD PROFESSIONAL SERVICE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-01",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "NEEDHAM",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "612-703-3743",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Marigold Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.