Active NPI
Brian Zirngible, LLC
- Community/Behavioral Health Agency
- Burnsville, MN
National Provider Identifier
1457718041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2154
- Legal business name
- BRIAN ZIRNGIBLE, LLC
- Practice address
- 1500 McAndrews Rd W
Burnsville, MN 55337-4432 - Phone
- (952) 892-1200
- Fax
- (952) 892-1722
- NPI assigned
- Jan 27, 2016
- Organization subpart
- Yes
- Parent organization
- BRIAN ZIRNGIBLE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Zirngible, M.A., L.M.F.T.
- Title
- Owner
- Phone
- (952) 892-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2154 | MN | Primary |
Addresses
Primary practice location
1500 McAndrews Rd W
Burnsville, MN 55337-4432
Mailing address
1500 McAndrews Rd W
Burnsville, MN 55337-4432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 587607200 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Both and Resources PLLC
- Part of
- Both and Resources PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Social Worker
- Apple Valley, MN
- NPI 1255488409
Locations
1500 McAndrews Rd W
Burnsville, MN 55337
Phone (651) 328-9831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453852800000",
"number": "1457718041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 MCANDREWS RD W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MCANDREWS RD W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374432",
"telephone_number": "952-892-1200",
"fax_number": "952-892-1722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN ZIRNGIBLE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRIAN ZIRNGIBLE, LLC",
"enumeration_date": "2016-01-27",
"last_updated": "2016-01-27",
"status": "A",
"authorized_official_last_name": "ZIRNGIBLE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-892-1200",
"authorized_official_credential": "M.A., L.M.F.T."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "2154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "587607200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.