Organization Active NPI

Minnesota Carepartner, LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1386234730
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINNESOTA CAREPARTNER, LLC
Practice address
393 Dunlap St N Ste 300
Saint Paul, MN 55104-4207
Phone
(612) 289-5656
Fax
(651) 925-0278
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Katy Kim Armendariz, LICSWNPI 1134477268
Title
Ceo
Phone
(612) 289-5656

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

393 Dunlap St N Ste 300
Saint Paul, MN 55104-4207

Mailing address

393 Dunlap St N Ste 300
Saint Paul, MN 55104-4207
Phone (612) 289-5656

Other identifiers 1

IdentifierTypeStateIssuer
1780011510MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mncarepartner.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Carepartner LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

393 Dunlap St N
Ste 300
Saint Paul, MN 55104
Phone (651) 645-4693

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1386234730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044207",
            "telephone_number": "612-289-5656",
            "fax_number": "651-925-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044207",
            "telephone_number": "612-289-5656",
            "fax_number": "651-925-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA CAREPARTNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "ARMENDARIZ",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-289-5656",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780011510",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mncarepartner.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Saint Paul",
            "address_1": "393 Dunlap St N Ste 300",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551044207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.