Organization Active NPI

Both Sides of the River Counseling

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1578075354
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4430 Issued in MN
Legal business name
BOTH SIDES OF THE RIVER COUNSELING
Practice address
557 7TH St W Ste 204
Saint Paul, MN 55102-3065
Phone
(651) 964-0962
NPI assigned
Nov 1, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Teresa Largaespada, LICSWNPI 1962654350
Title
Principal
Phone
(612) 423-8231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4430 MN Primary
Marriage & Family Therapist 106H00000X 2027 MN

Addresses

Primary practice location

557 7TH St W Ste 204
Saint Paul, MN 55102-3065

Mailing address

557 7TH St W Ste 204
Saint Paul, MN 55102-3065
Phone (651) 964-0962

Other practice location 1

711 W Lake St Ste 402
Minneapolis, MN 55408-2954
Phone (612) 382-3619

National Provider Directory

National Provider Directory

Locations

557 7th St W
Ste 204
Saint Paul, MN 55102
Phone (612) 382-3619

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1578075354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 7TH ST W STE 204",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023065",
            "telephone_number": "651-964-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 7TH ST W STE 204",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023065",
            "telephone_number": "651-964-0962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W Lake St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554082954",
            "country_code": "US",
            "telephone_number": "612-382-3619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOTH SIDES OF THE RIVER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LARGAESPADA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "612-423-8231",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "4430",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.