Individual provider Active NPI

Thomas Myron Billigmeier, M.DIV.

  • Clinical Social Worker
  • Burnsville, MN
National Provider Identifier
1609084359
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6655 Issued in MN
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

Updated by the provider on May 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
597MNMDPodiatrist
6655MNMDPhysical 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.

Verify at the official NPI Registry.