Organization Active NPI

Twin Cities Relationship Center

  • Adult Mental Health Clinic/Center
  • Eagan, MN
National Provider Identifier
1639558372
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TWIN CITIES RELATIONSHIP CENTER
Practice address
3470 Washington Dr
Suite 122
Eagan, MN 55122-1355
Phone
(651) 452-1557
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Todd M Berntson, MA, LPC
Title
Clinic Director
Phone
(651) 452-1557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3470 Washington Dr
Suite 122
Eagan, MN 55122-1355

Mailing address

3470 Washington Dr
Suite 122
Eagan, MN 55122-1355
Phone (651) 452-1557

National Provider Directory

National Provider Directory

Locations

3470 Washington Dr
Ste 122
Eagan, MN 55122
Phone (651) 452-1557

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1639558372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 WASHINGTON DR",
            "address_2": "SUITE 122",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221355",
            "telephone_number": "651-452-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 WASHINGTON DR",
            "address_2": "SUITE 122",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221355",
            "telephone_number": "651-452-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES RELATIONSHIP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "BERNTSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "651-452-1557",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.