Grow It Forward, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5391 Issued in MN

Legal business name

GROW IT FORWARD, LLC

Doing business as

Thomas King

Practice address

3820 Cleveland Ave N
Suite 400
Arden Hills, MN 55112-3285

Phone

(651) 389-4402

Fax

(651) 389-4410

NPI assigned

Oct 20, 2006

Last updated

Oct 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Edward King, MSW,LICSWNPI 1851490361

Title

Owner

Phone

(651) 389-4002

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Thomas King Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Thomas Edward King, MSW

  • Mental Health Counselor
  • Arden Hills, MN
  • NPI 1851490361
  Authorized official Same address or phone

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1497837173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 CLEVELAND AVE N",
            "address_2": "SUITE 400",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123285",
            "telephone_number": "651-389-4402",
            "fax_number": "651-389-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 CLEVELAND AVE N",
            "address_2": "SUITE 400",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123285",
            "telephone_number": "651-389-4402",
            "fax_number": "651-389-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW IT FORWARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-389-4002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW,LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "5391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP23667",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "79B37KI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6272579",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1851490361",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "658794100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas King",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Arden Hills, MN
• Providers in Arden Hills, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.