NPIMap

Organization Active NPI

Acquire Mental Health Clinic

  • Addiction (Substance Use Disorder) Psychologist
  • Nisswa, MN
National Provider Identifier
1811487887
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Legal business name
ACQUIRE MENTAL HEALTH CLINIC
Practice address
25282 Hazelwood Dr
Nisswa, MN 56468
Phone
(218) 820-6626
Fax
(218) 961-0065
NPI assigned
May 15, 2018
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Jennifer Vaughn, MSNPI 1710260708
Title
LMFT
Phone
(218) 820-6626

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU Primary
Group Psychotherapy Psychologist 103TP2701X NU
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

25282 Hazelwood Dr
Nisswa, MN 56468

Mailing address

25282 Hazelwood Dr
Nisswa, MN 56468-2797
Phone (218) 820-6626

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1811487887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25282 HAZELWOOD DR",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682797",
            "telephone_number": "218-820-6626",
            "fax_number": "218-961-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25282 HAZELWOOD DR",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "56468",
            "telephone_number": "218-820-6626",
            "fax_number": "218-961-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACQUIRE MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "218-820-6626",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nisswa, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.