Organization Active NPI

Envision Wellbeing

  • Community/Behavioral Health Agency
  • Woodbury, MN
National Provider Identifier
1649031709
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENVISION WELLBEING
Practice address
10260 Bleeker St
Woodbury, MN 55129-6904
Phone
(320) 310-9145
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Aragsan Samatar, LICSWNPI 1700647864
Title
Owner
Phone
(320) 310-9145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10260 Bleeker St
Woodbury, MN 55129-6904

Mailing address

10260 Bleeker St
Woodbury, MN 55129-6904
Phone (320) 310-9145

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1649031709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 BLEEKER ST",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551296904",
            "telephone_number": "320-310-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 BLEEKER ST",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551296904",
            "telephone_number": "320-310-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "SAMATAR",
        "authorized_official_first_name": "ARAGSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-310-9145",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.