Minnesota Carepartner, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

19837 Issued in MN

Legal business name

MINNESOTA CAREPARTNER, LLC

Practice address

5724 36TH Ave S
Minneapolis, MN 55417-2908

Phone

(612) 710-2797

Fax

(187) 778-5037

NPI assigned

Oct 12, 2013

Organization subpart

No

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

Authorized official

Name

Katy Kim Armendariz, MSW, LICSWNPI 1134477268

Title

Co-Owner/Clinical Director

Phone

(612) 710-2797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Minnesota Carepartner LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Minnesota Carepartner, LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1386234730
  NPD tax ID
• Roots Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Saint Paul, MN
  • NPI 1104309434
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katy Kim Armendariz, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1134477268
  Medicare reassignment NPD Authorized official
• Maria Hipkins, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1306206917
  Medicare reassignment NPD
• Christine Rushfeldt, LICSW, LADC

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1659728848
  Medicare reassignment NPD
• Carrie Eback

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1568864510
  NPD (past)
• Megan Jean Manty, MS, LPCC

  • Professional Counselor
  • Bloomington, MN
  • NPI 1639711641

  Multi-Specialty

  NPD (past)
• Phalen Meyer, LN

  • Nutritionist
  • Woodbury, MN
  • NPI 1053011197
  NPD (past)

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

{
    "created_epoch": "1381536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381536000000",
    "number": "1780011510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172908",
            "telephone_number": "612-710-2797",
            "fax_number": "877-785-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172908",
            "telephone_number": "612-710-2797",
            "fax_number": "187-778-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA CAREPARTNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-12",
        "last_updated": "2013-10-12",
        "status": "A",
        "authorized_official_last_name": "ARMENDARIZ",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CO-OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "612-710-2797",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "19837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Minnesota Care Partner
• Minnesota Caring Center, LLC.
• Minnesota Center for Children LLC
• Minnesota Center for Children LLC
• Minnesota Colon & Rectal Surgical Specialists, PLLC
• Minnesota Dental Professionals, P.C.

• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2013; 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.