Overcomers Outreach Ministries

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

1010090 Issued in MN

Legal business name

OVERCOMERS OUTREACH MINISTRIES

Practice address

2020 Bloomington Ave
Minneapolis, MN 55404-3073

Phone

(612) 871-1208

Fax

(612) 871-1219

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila Ann Thayer

Title

Program Director

Phone

(612) 871-1208

Specialties & licenses 1

Addresses

Other names 1

• First Nations Recovery Center Other name

Locations

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497958177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043073",
            "telephone_number": "612-871-1208",
            "fax_number": "612-871-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043073",
            "telephone_number": "612-871-1208",
            "fax_number": "612-871-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOMERS OUTREACH MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "612-871-1208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": "1010090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Nations Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Outreach Six Acres Inc
• Timothy Ouyang, PA-C
• Weiya Ouyang, PA
• Marlene E Ovalle Stiehm, PSYD, LMFT
• Jessica Anne Ovans, PT
• Lisa Marie Overholser
• Barbara Mae Dejonge Overline, LICSW
• David Miller Overman, M.D.
• Ellen Amy Overson, MD
• Lea Marie Overstreet, CNP

• Health Maintenance Organization in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Health Maintenance Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.