Joan Marie Oslund-Goleczka, L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3924 Issued in MN

Practice address

6160 Summit Dr N Ste 375
Brooklyn Center, MN 55430-2251

Phone

(763) 560-8331

NPI assigned

Jan 23, 2007

Last updated

Oct 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

University of Minnesota Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Behavioral Health, IncGroup PAC ID 9436287042, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Behavioral Health, Inc

  • Adult Mental Health Clinic/Center
  • Brooklyn Center, MN
  • NPI 1013139419
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1669527651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 DARTMOUTH DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451712",
            "telephone_number": "952-476-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 SUMMIT DR N STE 375",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302251",
            "telephone_number": "763-560-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3829 Dartmouth Dr",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553451712",
            "country_code": "US",
            "telephone_number": "952-476-4796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSLUND-GOLECZKA",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3924",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "LP3924",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MN",
            "license": "LP3924",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MN",
            "license": "LP3924",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "982631900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orivix Health LLC
• Orthodontic Care Group (Orthodontic Care Specialists)
• Miriam A Osammor, APRN
• Rory Ellen Osberg, LMFT
• Teresa Lynn Osby
• Jordan Ashley Ouellette
• Our Family Home Limited Liability Company (Our Family Home)
• Renee Padgett
• Angela Panter
• Park Nicollet Health Care Products

• Psychologist in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.