Organization Active NPI

Lifequest Therapeutic Services

  • Clinical Social Worker
  • Roseville, MN
National Provider Identifier
1700061272
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15886 Issued in MN
Legal business name
LIFEQUEST THERAPEUTIC SERVICES
Practice address
2233 Hamline Ave N
#609
Roseville, MN 55113-5009
Phone
(651) 263-0004
NPI assigned
Jan 3, 2008
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Mrs. Bekah Saliterman, LICSWNPI 1760445076
Title
Owner
Phone
(651) 263-0004

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 15886 MN Primary

Addresses

Primary practice location

2233 Hamline Ave N
#609
Roseville, MN 55113-5009

Mailing address

2233 Hamline Ave N
#609
Roseville, MN 55113-5009
Phone (651) 263-0004

Other identifiers 3

IdentifierTypeStateIssuer
136419OtherMNU-CARE
HP53204OtherMNHEALTHPARTNERS
431G2LIOtherMNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091021000545 MN Part B Supplier - Clinic/Group Practice 2365589520 Receives reassigned benefits from 2 practitioners
Practice locations: Roseville, MN

National Provider Directory

National Provider Directory

Locations

2233 Hamline Ave N
Ste 609
Roseville, MN 55113
Phone (651) 230-0492

1970 Oakcrest Ave
Ste 210
Saint Paul, MN 55113
Phone (612) 701-9197

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1700061272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N",
            "address_2": "#609",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135009",
            "telephone_number": "651-263-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N",
            "address_2": "#609",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135009",
            "telephone_number": "651-263-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEQUEST THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "SALITERMAN",
        "authorized_official_first_name": "BEKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-263-0004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE",
            "identifier": "136419",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP53204",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "431G2LI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.