Active NPI
Redwood Counseling LLC
- Community/Behavioral Health Agency
- Prior Lake, MN
National Provider Identifier
1720465669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- REDWOOD COUNSELING LLC
- Practice address
- 4201 Quaker TRL NE
Prior Lake, MN 55372-1744 - Phone
- (320) 282-6027
- NPI assigned
- Apr 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Anna Norah Ruschmeyer Bowe, LICSW
- Title
- Mental Health Professional
- Phone
- (320) 282-6027
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4201 Quaker TRL NE
Prior Lake, MN 55372-1744
Mailing address
4201 Quaker TRL NE
Prior Lake, MN 55372-1744
Phone (320) 282-6027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Glencoe, MN
- NPI 1376832980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430265600000",
"number": "1720465669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 QUAKER TRL NE",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553721744",
"telephone_number": "320-282-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 QUAKER TRL NE",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553721744",
"telephone_number": "320-282-6027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDWOOD COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-29",
"last_updated": "2015-04-29",
"status": "A",
"authorized_official_last_name": "RUSCHMEYER BOWE",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "NORAH",
"authorized_official_title_or_position": "MENTAL HEALTH PROFESSIONAL",
"authorized_official_telephone_number": "320-282-6027",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prior Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.