Psychotherapy - Psicoterapia

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16155 Issued in MN

Legal business name

PSYCHOTHERAPY - PSICOTERAPIA

Practice address

900 American Blvd E
142
Bloomington, MN 55420-1392

Phone

(651) 214-5170

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Angelica Keller, LICSWNPI 1043536683

Title

Psychotherapist

Phone

(651) 214-5170

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Angelica Keller, LICSW

  • Clinical Social Worker
  • Bloomington, MN
  • NPI 1043536683
  NPD (past) Authorized official

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1639574999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 CROWN POINT DR",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551184203",
            "telephone_number": "651-214-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 AMERICAN BLVD E",
            "address_2": "142",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201392",
            "telephone_number": "651-214-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY - PSICOTERAPIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANGELICA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "651-214-5170",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "16155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prosper Home Health and Transportation Services
• Nicholas James Pruett, PA-C
• Patricia K Pryor
• Michael Jay Przeslawski, DC
• Psychiatric Pathways PLLC
• Kelly Pudwill
• Lauren Michele Purdy, DC
• Nicholas Lamonte Purham-Wegescheide
• Abdulkadir Qanyare
• Abshir Qanyare

• Mental Health Counselor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.