NPIMap

Organization Active NPI

Forensic Mental Health Specialists

Doing business as Emergence Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elk River, MN
National Provider Identifier
1396246898
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
CC01306 Issued in MN
Legal business name
FORENSIC MENTAL HEALTH SPECIALISTS
Doing business as
Emergence Behavioral Health
Practice address
11090 183Rd Cir NW Ste C
Elk River, MN 55330-2884
Phone
(763) 333-8001
Fax
(763) 333-8001
NPI assigned
Feb 21, 2018
Last updated
Nov 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

Name
Ronda Disch, LPCCNPI 1861893505
Title
President
Phone
(763) 333-8001

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CC01306 MN Primary

Addresses

Primary practice location

11090 183Rd Cir NW Ste C
Elk River, MN 55330-2884

Mailing address

657 Main St NW Ste 5
Elk River, MN 55330-1584
Phone (763) 333-8001

Other practice location 1

4505 White Bear Pkwy Ste 2200
White Bear Lake, MN 55110-3699
Phone (763) 333-8001

Other names 1

  • Emergence Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

2805 Cliff Rd E
Ste 2
Burnsville, MN 55337

657 Main St NW
Ste 5
Elk River, MN 55330

825 Nicollet Mall
Ste 455
Minneapolis, MN 55402

Practitioners & affiliated clinicians

Practitioners 9

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": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1396246898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 MAIN ST NW STE 5",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301584",
            "telephone_number": "763-333-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11090 183RD CIR NW STE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302884",
            "telephone_number": "763-333-8001",
            "fax_number": "763-333-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 White Bear Pkwy Ste 2200",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "551103699",
            "country_code": "US",
            "telephone_number": "763-333-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORENSIC MENTAL HEALTH SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "DISCH",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-333-8001",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "CC01306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergence Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.