Mediation Services for Anoka County

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MEDIATION SERVICES FOR ANOKA COUNTY

Practice address

2520 Coon Rapids Blvd NW Ste 100
Coon Rapids, MN 55433-3908

Phone

(763) 422-8878

Fax

(763) 422-0808

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Ann M Wallerstedt

Title

Executive Director

Phone

(763) 422-8878

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730300765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 COON RAPIDS BLVD NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333908",
            "telephone_number": "763-422-8878",
            "fax_number": "763-422-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 COON RAPIDS BLVD NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333908",
            "telephone_number": "763-422-8878",
            "fax_number": "763-422-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIATION SERVICES FOR ANOKA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLERSTEDT",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-422-8878"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo McMartin, LPCC
• Alea McPherson
• Deirdre Nicole McPherson, RDN, LDN, CDCES
• Kelly Ann McTeague, M.D.
• Vicky Joy Mecl, NNP
• Ayesha Mehfooz, M.B,B.S.
• Ryan A Meihack, CRNA
• Ladonna Rae Meinecke, LICSW
• Michelle L Meiser, DDS
• Ashley S Melbostad, OT

• Voluntary or Charitable Agency in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Voluntary or Charitable Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.