Organization Active NPI

Own Self Be True, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Hope, MN
National Provider Identifier
1861026262
Registry record updated Feb 25, 2020
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
OWN SELF BE TRUE, LLC
Practice address
9220 Bass Lake Rd # 301
New Hope, MN 55428-3000
Phone
(612) 990-2383
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Mrs. Elisabeth Ann Gliddon, LMFTNPI 1194116590
Title
Therapist/Owner
Phone
(612) 990-2383

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

9220 Bass Lake Rd # 301
New Hope, MN 55428-3000

Mailing address

856 Birch St
Anoka, MN 55303-2852
Phone (612) 990-2383

Other names 1

  • Be True Doing business as

National Provider Directory

National Provider Directory

Locations

9220 Bass Lake Rd
Ste 301
New Hope, MN 55428
Phone (612) 990-2383

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1861026262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 BIRCH ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032852",
            "telephone_number": "612-990-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD # 301",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283000",
            "telephone_number": "612-990-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWN SELF BE TRUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "GLIDDON",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "612-990-2383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "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": [
        {
            "organization_name": "Be True",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.