Organization Active NPI

Eagancare Behavioral Health Services LLP.

  • Mental Health Counselor
  • Eagan, MN
National Provider Identifier
1487278172
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EAGANCARE BEHAVIORAL HEALTH SERVICES LLP.
Doing business as
Eagancare Behavioral Health Services LLP.
Practice address
1766 Gabbro TRL
Eagan, MN 55122-2919
Phone
(763) 639-3356
NPI assigned
May 29, 2020
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Mr. Ronald N OmariNPI 1881367456
Title
Director.
Phone
(763) 639-3356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1766 Gabbro TRL
Eagan, MN 55122-2919

Mailing address

1766 Gabbro TRL
Eagan, MN 55122-2919
Phone (763) 639-3356

Other names 1

  • Eagancare Behavioral Health Services LLP. Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1487278172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 GABBRO TRL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222919",
            "telephone_number": "763-639-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 GABBRO TRL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222919",
            "telephone_number": "763-639-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGANCARE BEHAVIORAL HEALTH SERVICES LLP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "OMARI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR.",
        "authorized_official_telephone_number": "763-639-3356",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagancare Behavioral Health Services LLP.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagancare Behavioral Health Services LLP.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.