Bystrom Counseling and Consultation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BYSTROM COUNSELING AND CONSULTATION

Practice address

2637 27TH Ave S Ste 231
Minneapolis, MN 55406-3196

Phone

(612) 499-3508

NPI assigned

May 12, 2016

Last updated

Aug 15, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

JANET BYSTROMAs reported in NPPES

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

Authorized official

Name

Janet Bystrom

Title

Owner

Phone

(612) 499-3508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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.

• Janet Ellen Bystrom Micek, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1417124256
  Medicare reassignment NPD

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1700232378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 COLUMBUS AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073115",
            "telephone_number": "612-499-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 27TH AVE S STE 231",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063196",
            "telephone_number": "612-499-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYSTROM COUNSELING AND CONSULTATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JANET BYSTROM",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "BYSTROM",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-499-3508"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Leigh Byrne, PA
• Laura Byrnes
• Casey J Byron, M.P.T.
• Cassondra Byrum, B.S.
• Victoria Bystedt, OTR/L
• Janet Ellen Bystrom Micek, LICSW
• Ben Byun
• Peter J Bzdusek, PT
• C and B Health Inc (Alem Chiropractic)
• C J Integrative Care LLC

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.