Soaring Eagle Therapeutic Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1605 Issued in MN

Legal business name

SOARING EAGLE THERAPEUTIC SERVICES, LLC

Practice address

2046 Saint Clair Ave
Saint Paul, MN 55105-1650

Phone

(651) 269-0485

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jay Russell Hunter, MA, LMFTNPI 1518113273

Title

Therapist

Phone

(651) 269-0485

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jay Russell Hunter, MA, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
  • NPI 1518113273
  NPD (past) Authorized official

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1477829935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 JULIET AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052124",
            "telephone_number": "651-269-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 SAINT CLAIR AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051650",
            "telephone_number": "651-269-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING EAGLE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "651-269-0485",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snyders Drug
• Snyders Drug
• Snyders Drug
• Snyders Drug
• Snyders Drug Stores Inc
• Social Services of Minnesota
• Joseph J Sockalosky, MD
• Brekken Rae Soderlund
• Nishtha Sodhi, M.D.
• Avraham Sofer, M.D.

• Community/Behavioral Health Agency in Saint Paul, MN
• Providers in Saint Paul, 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 Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.