Active NPI
Thomas Myron Billigmeier, M.DIV.
- Clinical Social Worker
- Burnsville, MN
National Provider Identifier
1609084359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6655
- Practice address
- 204 Crestridge Dr
Burnsville, MN 55337-4077 - Phone
- (952) 435-9074
- Fax
- (651) 662-0757
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6655 | MN | Primary |
| Marriage & Family Therapist | 106H00000X | 597 | MN |
Addresses
Primary practice location
204 Crestridge Dr
Burnsville, MN 55337-4077
Mailing address
204 Crestridge Dr
Burnsville, MN 55337-4077
Phone (952) 435-9074
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 597 | MN | MD | Podiatrist |
| 6655 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1609084359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 CRESTRIDGE DR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374077",
"telephone_number": "952-435-9074",
"fax_number": "651-662-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 CRESTRIDGE DR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374077",
"telephone_number": "952-435-9074",
"fax_number": "651-662-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLIGMEIER",
"first_name": "THOMAS",
"middle_name": "MYRON",
"name_prefix": "Mr.",
"credential": "M.DIV.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "6655",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.