The Renegade Therapist LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE RENEGADE THERAPIST LLC

Practice address

400 Washington St # 288
Northfield, MN 55057-2027

Phone

(262) 587-5750

Fax

(262) 394-0828

NPI assigned

Apr 27, 2026

Organization subpart

No

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

Authorized official

Name

Rachel Morrison, LICSWNPI 1063252062

Title

Owner, Psychotherapist

Phone

(262) 587-5750

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rachel Elizabeth Morrison

  • Clinical Social Worker
  • Northfield, MN
  • NPI 1063252062
  NPD Authorized official

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1386580884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST # 288",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572027",
            "telephone_number": "262-587-5750",
            "fax_number": "262-394-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST # 288",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572027",
            "telephone_number": "262-587-5750",
            "fax_number": "262-394-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENEGADE THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "262-587-5750",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Maura Tassava, PHD
• Ten-12 Counseling LLC
• Tena Roethle
• Kristina Thayer, L.AC.
• The Lux Medspa
• Michael J Thompson, D.D.S.
• Melissa Thone
• Three Links Health Services (Three Linkes Care Center)
• Erin K Traxler, DO
• Aimee A. Tubbs, PSY.D,, LP

• Clinical Social Worker in Northfield, MN
• Providers in Northfield, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.