Active NPI
Northern Star Behavioral Health LLC
- Behavior Analyst
- Winona, MN
National Provider Identifier
1427785021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- NORTHERN STAR BEHAVIORAL HEALTH LLC
- Practice address
- 111 Riverfront Ste 410
Winona, MN 55987-3563 - Phone
- (507) 218-1002
- NPI assigned
- Aug 3, 2022
- Last updated
- Aug 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meagan Pittelko, M.ED., BCBA
- Title
- Owner
- Phone
- (507) 218-1002
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
111 Riverfront Ste 410
Winona, MN 55987-3563
Mailing address
718 Neville CT SE
Rochester, MN 55904-4910
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Behavior Analyst
- Winona, MN
- NPI 1588136444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659484800000",
"number": "1427785021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 NEVILLE CT SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559044910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 RIVERFRONT STE 410",
"city": "WINONA",
"state": "MN",
"postal_code": "559873563",
"telephone_number": "507-218-1002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN STAR BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A",
"authorized_official_last_name": "PITTELKO",
"authorized_official_first_name": "MEAGAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "507-218-1002",
"authorized_official_credential": "M.ED., BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winona, MN
- Katelynn Newell-Vrieze
- My Linh Nguyen
- Kristin Janelle Noble, D.C.
- Dennis G Nolan, MD
- Northern Best Transportation Services LLC (Northern Best Transportation)
- Holly Norton
- Sandra Marie Nortung, CRNA
- Nsu Inc (cornerstone healthcare of winona)
- Nurturing Connections Counseling Center LLC
- Patti A Nybeck-Garcia, LADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.