Healing Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12247 Issued in MN

Legal business name

HEALING CENTER LLC

Practice address

226 Wyandotte Rd
Hoyt Lakes, MN 55750-1226

Phone

(218) 248-0598

NPI assigned

Aug 28, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Rose Elmberg, LGSWNPI 1811406945

Title

Owner/Mental Health Therapist

Phone

(218) 248-0598

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Jennifer Rose Elmberg

  • Clinical Social Worker
  • Virginia, MN
  • NPI 1811406945
  NPD Authorized official

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598282899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 WYANDOTTE RD",
            "city": "HOYT LAKES",
            "state": "MN",
            "postal_code": "557501226",
            "telephone_number": "218-248-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 WYANDOTTE RD",
            "city": "HOYT LAKES",
            "state": "MN",
            "postal_code": "557501226",
            "telephone_number": "218-248-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ELMBERG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "218-248-0598",
        "authorized_official_credential": "LGSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MN",
            "license": "25870",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699861229",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Hoyt Lakes
• Mary Fossell, RPH
• Alexis Jade Hammond
• Jeff Allen Homich
• Bryan Ann Johnson, LSW
• Darrell John Leier, M.D.
• Mesaba Drug Inc
• Thrifty Drug Stores, Inc.

• Clinical Social Worker in Hoyt Lakes, MN
• Providers in Hoyt Lakes, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.