Organization Active NPI

Adventures in Healing Family Therapy LLC.

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1578145017
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ADVENTURES IN HEALING FAMILY THERAPY LLC.
Practice address
4749 Chicago Ave Ste 2C
Minneapolis, MN 55407-4181
Phone
(612) 361-2247
NPI assigned
Apr 23, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Lyndsie Standerwick, LMFT, RPTNPI 1700360963
Title
Owner
Phone
(612) 361-2247

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

4749 Chicago Ave Ste 2C
Minneapolis, MN 55407-4181

Mailing address

4749 Chicago Ave Ste 2C
Minneapolis, MN 55407-4181
Phone (612) 361-2247

National Provider Directory

National Provider Directory

Locations

4749 Chicago Ave
Ste 2C
Minneapolis, MN 55407
Phone (612) 361-2247

Practitioners & affiliated clinicians

Practitioners 1

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": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1578145017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 CHICAGO AVE STE 2C",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074181",
            "telephone_number": "612-361-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 CHICAGO AVE STE 2C",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074181",
            "telephone_number": "612-361-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURES IN HEALING FAMILY THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "STANDERWICK",
        "authorized_official_first_name": "LYNDSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-361-2247",
        "authorized_official_credential": "LMFT, RPT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.