Individual provider Active NPI

Monica Heino

  • Social Worker
  • Minneapolis, MN
National Provider Identifier
1396962726
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17601 Issued in MN
Practice address
7831 E Bush Lake Rd
Ste 200B
Minneapolis, MN 55439-3164
Phone
(612) 564-8476
NPI assigned
Apr 19, 2007
Last updated
Aug 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 17601 MN Primary

Addresses

Primary practice location

7831 E Bush Lake Rd
Ste 200B
Minneapolis, MN 55439-3164

Mailing address

7831 E Bush Lake Rd
Ste 200B
Minneapolis, MN 55439-3164
Phone (612) 223-7992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110420000772 MN Practitioner - Clinical Social Worker 4688859499 Practice locations: Eden Prairie, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6640 Shady Oak Rd
Suite 25
Eden Prairie, MN 55344-2898
Phone (612) 564-8476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17601MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nurture Counseling Center, LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1396962726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 E BUSH LAKE RD",
            "address_2": "STE 200B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393164",
            "telephone_number": "612-223-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 E BUSH LAKE RD",
            "address_2": "STE 200B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393164",
            "telephone_number": "612-564-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINO",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "17601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.