Mission Restart Inc.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

MISSION RESTART INC.

Practice address

1007 NW 4TH St Ste C
Grand Rapids, MN 55744-2203

Phone

(218) 999-4066

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Cynthia Baade, CPRSR, SPC, PSS

Title

Founder

Phone

(218) 812-9238

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1508645870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 NW 4TH ST STE C",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442203",
            "telephone_number": "218-999-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 NW 4TH ST STE C",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442203",
            "telephone_number": "218-999-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION RESTART INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "BAADE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "218-812-9238",
        "authorized_official_credential": "CPRSR, SPC, PSS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Grand Rapids, MN
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• Peer Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.