Complementary Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMPLEMENTARY SUPPORT SERVICES

Practice address

2345 Stone Creek LN W
Chanhassen, MN 55317-7413

Phone

(612) 203-5257

Fax

(952) 470-5783

NPI assigned

Feb 28, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Teri Dimond

Title

President

Phone

(612) 861-9601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

Clinical Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Complementary Support Services

  • Clinical Social Worker
  • Richfield, MN
  • NPI 1023093473
  NPD tax ID

Locations

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

{
    "created_epoch": "1267315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267315200000",
    "number": "1497077796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 PENN AVE S STE 301",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 STONE CREEK LN W",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553177413",
            "telephone_number": "612-203-5257",
            "fax_number": "952-470-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEMENTARY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-28",
        "last_updated": "2010-02-28",
        "status": "A",
        "authorized_official_last_name": "DIMOND",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-861-9601",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarkson Optometry Inc
• Sawyer Lee Clement
• Kyle Dean Clevenger, DPT
• Alexander George Cole, PHARMD.
• David James Cole, D.C.
• Tori-Thuy Thi Conrad, DDS
• Counseling and Therapeutic Support Services PLLC
• Bethany Lynn Curnow, D.C.
• Benjamin David Curtis, D.D.S
• D. Bradley Dodds, D.D.S., P.a.

• Community/Behavioral Health Agency in Chanhassen, MN
• Providers in Chanhassen, 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 Feb 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.