Active NPI
Autism Opportunities Foundation
- Psychologist
- Minnetonka, MN
National Provider Identifier
1447348172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- AUTISM OPPORTUNITIES FOUNDATION
- Practice address
- 5868 Baker Rd
Minnetonka, MN 55345-5903 - Phone
- (952) 767-4200
- Fax
- (952) 767-4211
- NPI assigned
- Oct 10, 2006
- 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
- Renita Ware
- Title
- Revenue Cylce Manager
- Phone
- (952) 767-4200
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
5868 Baker Rd
Minnetonka, MN 55345-5903
Mailing address
5868 Baker Rd
Minnetonka, MN 55345-5903
Phone (952) 767-4200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034R2LA | Other | MN | BCBS ASSESS, DX, TESTING |
| 240999200 | Medicaid | MN | |
| 141D6FA | Other | MN | BCBS THERAPY BILLING |
| 482401600 | Medicaid | MN |
Other names 1
- MAC Midwest
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150406001591 | MN | Part B Supplier - Clinic/Group Practice | 1153649009 |
Receives reassigned benefits from 18 practitioners Practice locations: Minnetonka, MN |
National Provider Directory
National Provider Directory- Tax ID family
- Autism Opportunities Foundation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Minnetonka, MN
- NPI 1821362450
Locations
5868 Baker Rd
Minnetonka, MN 55345
Phone (612) 245-5933
Practitioners & affiliated clinicians
Practitioners 42
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771545600000",
"number": "1447348172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5868 BAKER RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553455903",
"telephone_number": "952-767-4200",
"fax_number": "952-767-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5868 BAKER RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553455903",
"telephone_number": "952-767-4200",
"fax_number": "952-767-4211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM OPPORTUNITIES FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A",
"authorized_official_last_name": "WARE",
"authorized_official_first_name": "RENITA",
"authorized_official_title_or_position": "REVENUE CYLCE MANAGER",
"authorized_official_telephone_number": "952-767-4200"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ASSESS, DX, TESTING",
"identifier": "034R2LA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240999200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS THERAPY BILLING",
"identifier": "141D6FA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "482401600",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MAC Midwest",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MAC Midwest",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.