Power of Progress Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POWER OF PROGRESS SERVICES, LLC

Doing business as

Pops, LLC

Practice address

881 McIntosh Dr
Apple Valley, MN 55124-8971

Phone

(952) 334-8278

Fax

(952) 431-2679

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Cloutier, LICSWNPI 1871646216

Title

Licsw/Owner

Phone

(952) 334-8278

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• POPS, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Kyle Gregory Cloutier, LICSW

  • Clinical Social Worker
  • Mendota Heights, MN
  • NPI 1871646216
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1427516574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 MCINTOSH DR",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248971",
            "telephone_number": "952-334-8278",
            "fax_number": "952-431-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 MCINTOSH DR",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248971",
            "telephone_number": "952-334-8278",
            "fax_number": "952-431-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER OF PROGRESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "LICSW/OWNER",
        "authorized_official_telephone_number": "952-334-8278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101604100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POPS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana Dean Podratz, MSW, LGSW
• Nunu Poe
• Craig Polsfuss, MA, LP, MSW
• Evyn Mae Polsfuss
• Brandi Portero, MD
• Powers Psychotherapy, LLC (J Powers Therapy)
• Amanda Bernedette Powers, PSYD LP
• Kathryn Ann Pratt, MA, LADC, LPCC
• Zachary David Praus, OT
• Preferred Choice Home Care LLC (Preferred Choice Home Care)

• Community/Behavioral Health Agency in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.