Ostara Initiative

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OSTARA INITIATIVE

Practice address

5353 Gamble Dr
St Louis Park, MN 55416-1509

Phone

(612) 382-3095

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Erica Elizabeth Gerrity, LICSWNPI 1487892733

Title

Executive Director

Phone

(612) 382-3095

Specialties & licenses 2

Addresses

Other names 1

• Minnesota Prison Doula Project Doing business as

Tax ID family

Minnesota Prison Doula Project2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ostara Initiative

  • Community/Behavioral Health Agency
  • St Louis Park, MN
  • NPI 1275296642
  NPD tax ID

Locations

Practitioners 1

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

• Erica Elizabeth Gerrity, LICSW

  • Clinical Social Worker
  • Eagan, MN
  • NPI 1487892733
  NPD Authorized official

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1841957305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18603",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554180603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 GAMBLE DR",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161509",
            "telephone_number": "612-382-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTARA INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "GERRITY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-382-3095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Prison Doula Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suaad Mohamed Osman
• Kendra Osmondson
• Osobs Care Collective Centre LLC
• Sophia Alexandra Osovsky
• Ostara Initiative
• Anders Karsten Osthus, DO
• Ufuoma Peace Otebele, MSN, RN, PMHNP-BC
• Samuel Patrick Faunillan Otis, CRNA
• Robert G Otos, OT
• Susanne Marie Otos, RN, LSN, BSN, PHN

• Community/Behavioral Health Agency in St Louis Park, MN
• Providers in St Louis Park, 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 Nov 19, 2021; 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.