Birchbark Play Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BIRCHBARK PLAY THERAPY

Practice address

7400 Lyndale Ave S Ste 160
Minneapolis, MN 55423-4142

Phone

(612) 578-2502

NPI assigned

Apr 4, 2025

Last updated

Apr 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Marie Masters, MA, LPCC-SNPI 1619375250

Title

Child Therapist

Phone

(612) 578-2502

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kimberly Marie Masters, M.A., L.P.C.C.

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1619375250
  NPD Authorized official

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1861286015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 COLUMBUS AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554173109",
            "telephone_number": "612-578-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 LYNDALE AVE S STE 160",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554234142",
            "telephone_number": "612-578-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHBARK PLAY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHILD THERAPIST",
        "authorized_official_telephone_number": "612-578-2502",
        "authorized_official_credential": "MA, LPCC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619375250",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Minnesota, Inc. (Fmcna Park Avenue Dialysis Center)
• Bioscrip Pharmacy, Inc. (BioScrip Pharmacy)
• Fanuel Biratu
• Martin L Birch, MD
• Shannon Birchard, LGSW, LMSW
• Birchwood Dental of Minneapolis
• Andrea Nicole Bird
• John Bird, MD
• Julia Sarah Birdsall
• Debora Lynn Birgin, LICSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.