Julie Humbert MSW Licsw Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

15465 Issued in MN

Legal business name

JULIE HUMBERT MSW LICSW INC

Practice address

1302 4TH St S
Cold Spring, MN 56320-2336

Phone

(320) 250-2132

Fax

(320) 685-3076

NPI assigned

Jun 20, 2014

Last updated

Jun 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Julie HumbertNPI 1528151073

Title

Therapist/Owner

Phone

(320) 250-2132

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Humbert, LICSW

  • Clinical Social Worker
  • Minnetrista, MN
  • NPI 1528151073
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1679987358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 4TH ST S",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563202336",
            "telephone_number": "320-250-2132",
            "fax_number": "320-685-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 4TH ST S",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563202336",
            "telephone_number": "320-250-2132",
            "fax_number": "320-685-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE HUMBERT MSW LICSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "HUMBERT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "320-250-2132",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "15465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206991100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/OPTUM",
            "identifier": "807683925",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "152466",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Independent School District No 750
• J & K Griffith DDS
• Jacy, LLC (Stoneridge)
• Jacy, LLC (Riversedge)
• Emily Johannes, MSW, LICSW
• Alaina Just
• Suzanne Kelly, CNP
• Charles Anton Kinzer, DC
• Melissa Jane Kron, LMFT
• Megan Ann Kropuenske, PHARMD

• Community/Behavioral Health Agency in Cold Spring, MN
• Providers in Cold Spring, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.