Family Link Social Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAMILY LINK SOCIAL SERVICES

Practice address

2642 University Ave W Ste 215
Saint Paul, MN 55114-1032

Phone

(651) 214-4032

NPI assigned

Dec 23, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Dimeji Tanimojo, SOCIAL WORKERNPI 1700332764

Title

Clinical Director/Owner

Phone

(651) 214-4032

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmanuel Tanimojo

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1700332764
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1578150652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 UNIVERSITY AVE W STE 215",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141032",
            "telephone_number": "651-214-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 UNIVERSITY AVE W STE 215",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141032",
            "telephone_number": "651-214-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LINK SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "TANIMOJO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "DIMEJI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "651-214-4032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P746118131117",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Healthservices Minnesota, P.a.
• Family Healthservices Minnesota, P.a.
• Family Healthservices Minnesota, P.a.
• Family Homecare LLC
• Family Homecare Services, LLC
• Family Oral Surgery Specialists PLC
• Family Orthodontic Specialists PLC
• Family Periodontic Specialists, PLC
• Family Recovery Resource Experts LLC
• Family Restoration Counseling Services

• Mental Health Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.