Aurora Healing Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

AURORA HEALING INC

Practice address

657 Main St NW Ste 214
Elk River, MN 55330-1579

Phone

(763) 412-1994

NPI assigned

Jan 30, 2019

Organization subpart

No

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

Authorized official

Name

Nathan Shaylor Alley, MA, LADC, LPCCNPI 1649781311

Title

Ceo

Phone

(763) 412-1994

Specialties & licenses 7

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Nathan Shaylor Alley, LPCC, LADC

  • Professional Counselor
  • Elk River, MN
  • NPI 1649781311

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Kate Theisz, PSY.D.

  • Clinical Psychologist
  • Elk River, MN
  • NPI 1861567513
  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1376007708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 MAIN ST NW STE 214",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301579",
            "telephone_number": "763-412-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 MAIN ST NW STE 214",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301579",
            "telephone_number": "763-412-1994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20934 Ogden St NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553308909",
            "country_code": "US",
            "telephone_number": "505-670-9782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26219 Fremont Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Zimmerman",
            "state": "MN",
            "postal_code": "553984550",
            "country_code": "US",
            "telephone_number": "763-412-1994",
            "fax_number": "763-412-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AURORA HEALING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "ALLEY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "SHAYLOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-412-1994",
        "authorized_official_credential": "MA, LADC, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649781311",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861567513",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Arndt, PA-C
• Cathleen Joyce Artman, CMT
• Danielle Nicole Arvidson
• Lucas James Asfeld, OD
• Aspen Therapeutics LLC
• Breanne Engel Austin
• Avalon Home Care
• CHI-CHI Nwasinachukwu Phina Ayika, MBBS
• Kai Michael Badua, DC
• Skylar Baham

• Clinical Psychologist in Elk River, MN
• Providers in Elk River, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.