Hennepin County

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

HENNEPIN COUNTY

Doing business as

St. Stephen's Shelter

Practice address

2211 Clinton Ave
Minneapolis, MN 55404-3656

Phone

(612) 348-5553

Fax

(612) 677-6299

NPI assigned

Dec 17, 2018

Last updated

Dec 19, 2018By 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

Stephanie Abel

Title

Area Manager

Phone

(612) 348-8824

Specialties & licenses 1

Addresses

Other names 1

• St. Stephen's Shelter Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hennepin County

  dba NorthPoint Health & Wellness Center- Heritage Park

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1083083752

  O20040218001012

  Same enrollment
• Hennepin County

  dba Salvation Army Harbor Lights

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1083185193

  O20040218001012

  Same enrollment
• Hennepin County

  dba NorthPoint Health & Wellness Center - Workforce Center Medical

  • Community Health Clinic/Center
  • Minneapolis, MN
  • NPI 1154774925

  O20040218001012

  Same enrollment
• Hennepin County

  dba NorthPoint Health & Wellness Center- Main Clinic

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1215951751

  O20040218001012

  Same enrollment
• Hennepin County

  dba Public Health Clinic

  • Public Health or Welfare Agency
  • Minneapolis, MN
  • NPI 1295812386

  O20040218001012

  Same enrollment
• Hennepin County

  dba Branch III - Adult Opportunity Center

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1528539624

  O20040218001012

  Same enrollment
• Hennepin County

  dba Catholic Charities, Higher Ground

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1619448685

  O20040218001012

  Same enrollment
• Hennepin County

  dba People Serving People

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1679044788

  O20040218001012

  Same enrollment
• Hennepin County

  dba Hennepin County Mental Health Center

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1780790345

  O20040218001012

  Same enrollment
• Hennepin County

  dba Harriet Tubman Center

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1841761954

  O20040218001012

  Same enrollment
• Hennepin County

  dba Youth Link

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1891266862

  O20040218001012

  Same enrollment
• Hennepin County

  dba Endeavors

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1962147413

  O20040218001012

  Same enrollment

Locations

Practitioners 3

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.

• Hallie Lauren Olson, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1205104494
  NPD
• Susan Pohl

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1720416142
  NPD
• Nicholas William Stephens, LICSW

  • Clinical Social Worker
  • Golden Valley, MN
  • NPI 1619298916
  NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1700357779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PORTLAND AVE # MC963",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151533",
            "telephone_number": "612-348-5553",
            "fax_number": "612-677-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CLINTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043656",
            "telephone_number": "612-348-5553",
            "fax_number": "612-677-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNEPIN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "ABEL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "AREA MANAGER",
        "authorized_official_telephone_number": "612-348-8824"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Stephen's Shelter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hennepin County (Branch III - Adult Opportunity Center)
• Hennepin County (Hennepin County Human Services)
• Hennepin County (Health Assessment and Promotion Clinic)
• Hennepin County (Catholic Charities, Higher Ground)
• Hennepin County (People Serving People)
• Hennepin County (HCH Street Outreach)
• Hennepin County (Hennepin County Mental Health Center)
• Hennepin County (NorthPoint Health & Wellness Center- Plymouth Youth Center)
• Hennepin County (Harriet Tubman Center)
• Hennepin County (Red Door Clinic)

• Federally Qualified Health Center (FQHC) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Federally Qualified Health Center (FQHC) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.