Village Ranch Child and Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VILLAGE RANCH CHILD AND FAMILY SERVICES

Practice address

13637 60TH St SW
Cokato, MN 55321-4210

Phone

(320) 286-2922

Fax

(320) 286-2875

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By 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

Mr. Scott Bakeberg, MA

Title

Executive Doirector

Phone

(320) 286-2922

Specialties & licenses 1

Addresses

Practitioners 4

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.

• Hannah Krog, LICSW

  • Clinical Social Worker
  • Monticello, MN
  • NPI 1831802453
  NPD (past)
• Mary Kathleen Neznik, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1154533578
  NPD (past)
• Brandon Pellaton, LICSW

  • Clinical Social Worker
  • Willmar, MN
  • NPI 1689080707
  NPD (past)
• Andria C Twingstrom, LICSW

  • Clinical Social Worker
  • Roseville, MN
  • NPI 1174268643
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1700056876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13637 60TH ST SW",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553214210",
            "telephone_number": "320-286-2922",
            "fax_number": "320-286-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13637 60TH ST SW",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553214210",
            "telephone_number": "320-286-2922",
            "fax_number": "320-286-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE RANCH CHILD AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "BAKEBERG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DOIRECTOR",
        "authorized_official_telephone_number": "320-286-2922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simonson Hearing Services, Inc (Minnesota Hearing Solutions)
• Travis Simonson, H.I.S.
• Thomas Joseph Styrvoky, MD
• Marian Josephine Trautmann, MSE, LICSW
• Andrea Verhey, OTR
• Jesse Bassett Walker, LMFT
• Carrie Jo Weigman, DNP
• Jon Lee Wheeler, D.C.
• Randy James Wills, MA LP
• Gina M Young, DMD

• Community/Behavioral Health Agency in Cokato, MN
• Providers in Cokato, 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 Mar 5, 2008; 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.