Individual provider Active NPI

Eric Randall Aurelius, MS LICSW CPRP

  • Social Worker
  • Ramsey, MN
National Provider Identifier
1598952996
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
12633 Issued in MN
Practice address
7850 Riverdale Dr NW
Suite C
Ramsey, MN 55303-7215
Phone
(763) 427-2590
Fax
(763) 427-2579
NPI assigned
Sep 28, 2007
Last updated
Jan 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12633 MN Primary

Addresses

Primary practice location

7850 Riverdale Dr NW
Suite C
Ramsey, MN 55303-7215

Mailing address

7850 Riverdale Dr NW
Suite C
Ramsey, MN 55303-7215
Phone (763) 427-2590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Therapeutic Services, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1598952996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 RIVERDALE DR NW",
            "address_2": "SUITE C",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553037215",
            "telephone_number": "763-427-2590",
            "fax_number": "763-427-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 RIVERDALE DR NW",
            "address_2": "SUITE C",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553037215",
            "telephone_number": "763-427-2590",
            "fax_number": "763-427-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AURELIUS",
        "first_name": "ERIC",
        "middle_name": "RANDALL",
        "credential": "MS LICSW CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "12633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.