NPIMap

Organization Active NPI

Lutheran Social Service of Minnesota

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1609080290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LUTHERAN SOCIAL SERVICE OF MINNESOTA
Practice address
2485 Como Ave
Saint Paul, MN 55108-1445
Phone
(800) 582-5260
Fax
(651) 969-2303
NPI assigned
May 10, 2007
Reactivated
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brigid Peterson
Title
Controller
Phone
(800) 582-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2485 Como Ave
Saint Paul, MN 55108-1445

Mailing address

2485 Como Ave
Saint Paul, MN 55108-1445
Phone (800) 582-5260

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0702038Lutheran Social Service of Minnesota2485 Como Ave, Saint Paul, MN 55108Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Compass North18 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

2485 Como Ave
Saint Paul, MN 55108
Phone (800) 582-5260

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609080290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081445",
            "telephone_number": "800-582-5260",
            "fax_number": "651-969-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081445",
            "telephone_number": "800-582-5260",
            "fax_number": "651-969-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICE OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "deactivation_date": "2007-05-30",
        "reactivation_date": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRIGID",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "800-582-5260"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.