Active NPI
Tasks Unlimited Training Center
- Community/Behavioral Health Agency
- St Louis Park, MN
National Provider Identifier
1679612337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 802463-1-RMI
- Legal business name
- TASKS UNLIMITED TRAINING CENTER
- Practice address
- 4029 Utica Ave S
St Louis Park, MN 55416-2904 - Phone
- (952) 928-9390
- NPI assigned
- Feb 6, 2007
- Organization subpart
- Yes
- Parent organization
- TASKS UNLIMITED INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trevor B Johnson
- Title
- Executive Director
- Phone
- (612) 871-3320
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 802463-1-RMI | MN | Primary |
Addresses
Primary practice location
4029 Utica Ave S
St Louis Park, MN 55416-2904
Mailing address
2419 Nicollet Ave
Minneapolis, MN 55404-3450
Phone (612) 871-3320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802463-1-RMI | Other | MN | DHS LICENSE # |
| PENDING | Medicaid | MN |
National Provider Directory
National Provider Directory- Part of
- Tasks Unlimited Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Psychiatry Physician
- Minneapolis, MN
- NPI 1144368457
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1679860357
-
- Addiction (Substance Use Disorder) Counselor
- St Louis Park, MN
- NPI 1689232035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1679612337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043450",
"telephone_number": "612-871-3320",
"fax_number": "612-871-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4029 UTICA AVE S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162904",
"telephone_number": "952-928-9390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TASKS UNLIMITED TRAINING CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TASKS UNLIMITED INC.",
"enumeration_date": "2007-02-06",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "TREVOR",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "612-871-3320"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "802463-1-RMI",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHS LICENSE #",
"identifier": "802463-1-RMI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.