NPIMap

Organization Active NPI

Peoplefirst Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodbury, MN
National Provider Identifier
1790567477
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PEOPLEFIRST CLINIC PLLC
Practice address
652 Bielenberg Dr Ste 202
Woodbury, MN 55125-4480
Phone
(651) 317-3902
Fax
(833) 972-4801
NPI assigned
Oct 18, 2023
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Tim Horton, APRN, CNPNPI 1700551504
Title
Owner
Phone
(651) 327-0152

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

652 Bielenberg Dr Ste 202
Woodbury, MN 55125-4480

Mailing address

652 Bielenberg Dr Ste 202
Woodbury, MN 55125-4480
Phone (651) 317-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404001982 MN Part B Supplier - Clinic/Group Practice 4385082700 Receives reassigned benefits from 4 practitioners
Practice locations: Woodbury, MN

National Provider Directory

National Provider Directory

Locations

652 Bielenberg Dr
Ste 202
Woodbury, MN 55125
Phone (651) 317-3902

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1790567477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 BIELENBERG DR STE 202",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254480",
            "telephone_number": "651-317-3902",
            "fax_number": "833-972-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 BIELENBERG DR STE 202",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254480",
            "telephone_number": "651-317-3902",
            "fax_number": "833-972-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLEFIRST CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-327-0152",
        "authorized_official_credential": "APRN, CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.