Individual provider Active NPI

Chrysa Reichel, LGSW

  • Social Worker
  • Mendota Heights, MN
National Provider Identifier
1508548462
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
28078 Issued in MN
Practice address
2510 Lexington Ave. S
Mendota Heights, MN 55120
Phone
(651) 280-5359
Fax
(651) 455-1385
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 28078 MN Primary

Addresses

Primary practice location

2510 Lexington Ave. S
Mendota Heights, MN 55120

Mailing address

2510 Lexington Ave S
Mendota Heights, MN 55120-1260
Phone (651) 422-8850

Other names 1

  • Chrysa Humphrey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122003222 MN Practitioner - Clinical Social Worker 4385173236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Residential Transitions IncorporatedGroup PAC ID 1951830801, 2 clinicians

Practice addresses (Care Compare)

750 S Plaza Dr
Suite 100
Mendota Heights, MN 55120-1505
Phone (651) 457-1461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Residential Transitions Incorporated CurrentSince Dec 1, 2024 Accepting new patients

Locations

750 S Plaza Dr
Ste 100
Mendota Heights, MN 55120
Phone (651) 457-1461

2510 Lexington Ave S
Saint Paul, MN 55120
Phone (651) 280-5359

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.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1508548462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 LEXINGTON AVE S",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201260",
            "telephone_number": "651-422-8850",
            "fax_number": "651-455-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 LEXINGTON AVE. S",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "55120",
            "telephone_number": "651-280-5359",
            "fax_number": "651-455-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHEL",
        "first_name": "CHRYSA",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "28078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRYSA",
            "last_name": "HUMPHREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mendota Heights, MN

Sources for this page

Verify at the official NPI Registry.