NPIMap

Organization Active NPI

Generations Community Support Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • W. St. Paul, MN
National Provider Identifier
1861440919
Registry record updated Aug 22, 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
GENERATIONS COMMUNITY SUPPORT SERVICE
Practice address
60 E Marie St
#117
W St Paul, MN 55118
Phone
(612) 676-1604
Fax
(651) 552-9874
NPI assigned
May 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathleen Joan Gorman, LICSWNPI 1063461168
Title
President
Phone
(612) 676-1604

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

60 E Marie St
#117
W St Paul, MN 55118

Mailing address

2649 Park Ave
Minneapolis, MN 55407
Phone (612) 676-1604

National Provider Directory

National Provider Directory

Locations

60 Marie Ave E
#117W
W St Paul, MN 55118
Phone (612) 676-1604

60 Marie Ave E
Ste 119
West Saint Paul, MN 55118
Phone (651) 552-9071

Practitioners & affiliated clinicians

Practitioners 10

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861440919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-676-1604",
            "fax_number": "612-379-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E MARIE ST",
            "address_2": "#117",
            "city": "W ST PAUL",
            "state": "MN",
            "postal_code": "55118",
            "telephone_number": "612-676-1604",
            "fax_number": "651-552-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS COMMUNITY SUPPORT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-676-1604",
        "authorized_official_credential": "LICSW"
    },
    "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 W. St. Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.