Active NPI
Eric Gene Lent
- Behavior Technician
- Brooklyn Park, MN
National Provider Identifier
1497473920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6900 78TH Ave N Ste 101
Brooklyn Park, MN 55445-2719 - Phone
- (763) 432-6875
- Fax
- (833) 933-0639
- NPI assigned
- Aug 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
6900 78TH Ave N Ste 101
Brooklyn Park, MN 55445-2719
Mailing address
101 W 2ND St
Duluth, MN 55802-2086
Phone (218) 221-7519
Other practice location 1
1522 E Superior St
Duluth, MN 55812-1634
Phone (218) 724-3122
Other practice location 2
115 7th St
Two Harbors, MN 55616-1528
Phone (218) 724-3122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accend Services Incorporated | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Duluth, MN
- NPI 1417023458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1497473920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W 2ND ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022086",
"telephone_number": "218-221-7519",
"fax_number": "833-933-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 78TH AVE N STE 101",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452719",
"telephone_number": "763-432-6875",
"fax_number": "833-933-0639"
}
],
"practiceLocations": [
{
"address_1": "1522 E Superior St",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558121634",
"country_code": "US",
"telephone_number": "218-724-3122",
"fax_number": "833-933-0639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 7th St",
"address_purpose": "LOCATION",
"city": "Two Harbors",
"state": "MN",
"postal_code": "556161528",
"country_code": "US",
"telephone_number": "218-724-3122",
"fax_number": "833-933-0639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENT",
"first_name": "ERIC",
"middle_name": "GENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.