Strengthen Social Skills

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STRENGTHEN SOCIAL SKILLS

Practice address

20 Northdale Blvd NW
Coon Rapids, MN 55448-3356

Phone

(952) 393-9884

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Joan Blackman, MA, LICSW

Title

Peers Instructor

Phone

(952) 393-9884

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1750101481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MADISON AVE S",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438446",
            "telephone_number": "952-393-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORTHDALE BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554483356",
            "telephone_number": "952-393-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRENGTHEN SOCIAL SKILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PEERS INSTRUCTOR",
        "authorized_official_telephone_number": "952-393-9884",
        "authorized_official_credential": "MA, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083846711",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720385735",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shayne Stone
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• Natalie Strack, AUD
• Emily Butler Strange, DPT
• Benjamin Michael Strawmatt
• Stress Reduction Specialities, LLC
• Jonathan Joseph Strom
• Amy Stroman-Petersen, MSW
• Strong Hope Home Health Care LLC
• Krystal Ann Strong

• Mental Health Counselor in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.