Prairie St. John'S Clinic

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5063A Issued in ND

Legal business name

PRAIRIE ST. JOHN'S CLINIC

Practice address

7616 Currell Blvd
Suite 100
Saint Paul, MN 55125-2290

Phone

(651) 259-9700

Fax

(651) 259-9740

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry W Magnison, CFO

Title

Chief Financial Officer

Phone

(701) 476-7221

Specialties & licenses 7

Addresses

Other identifiers 1

Tax ID family

Prairie St John'S Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Prairie St. John'S Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Woodbury, MN
  • NPI 1073601258
  NPD tax ID
• Prairie St. Johns

  • Children's Hospital
  • Minnetonka, MN
  • NPI 1235260993
  NPD tax ID
• Prairie St. John'S, LLC

  • Substance Abuse Rehabilitation Facility
  • Fargo, ND
  • NPI 1366681918
  NPD tax ID

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1518059690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 4TH ST S",
            "address_2": "PO BOX 2027",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031914",
            "telephone_number": "701-476-7221",
            "fax_number": "701-476-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CURRELL BLVD",
            "address_2": "SUITE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551252290",
            "telephone_number": "651-259-9700",
            "fax_number": "651-259-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE ST. JOHN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MAGNISON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "701-476-7221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "ND",
            "license": "5063A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "5063A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "ND",
            "license": "5063A",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "ND",
            "license": "5063A",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "ND",
            "license": "5063A",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "ND",
            "license": "5063A",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5063A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BLUE CROSS",
            "identifier": "238T5PR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sapna Prabhakaran, M.D
• Practical Therapy LLC
• Andrea Sue Prado
• Prairie Horizons Health Inc (Prairie Horizons Health)
• Prairie Path Behavioral Health LLC
• Prairiestone Pharmacy LLC (Prairiestone Pharmacy)
• Cynthia Ruth Pratt, M.A., L.P.
• E Pratt, LMFT
• Erin Marie Pratt
• Kathryn Pratt, NURSE PRACTIONER

• Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.