Active NPI
Morning Star Psychotherapy, LTD
- Clinical Social Worker
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MORNING STAR PSYCHOTHERAPY, LTD
- Practice address
- 2230 Carter Ave Ste 9
Saint Paul, MN 55108-1654 - Phone
- (612) 564-3414
- NPI assigned
- Jul 23, 2022
- Last updated
- Mar 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Goodwin, LICSW
- Title
- Owner/Psychotherapist
- Phone
- (651) 245-9901
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
2230 Carter Ave Ste 9
Saint Paul, MN 55108-1654
Mailing address
2230 Carter Ave Ste 9
Saint Paul, MN 55108-1654
Phone (651) 245-9901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H400899380 | Medicaid | MN |
Other names 1
- n/a
National Provider Directory
National Provider DirectoryLocations
821 Raymond Ave
Ste 150
Saint Paul, MN 55114
Phone (651) 245-3445
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.
-
- Clinical Social Worker
- Saint Paul, MN
- NPI 1730733098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1871228734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 CARTER AVE STE 9",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081654",
"telephone_number": "651-245-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 CARTER AVE STE 9",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081654",
"telephone_number": "612-564-3414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNING STAR PSYCHOTHERAPY, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-23",
"last_updated": "2024-03-25",
"certification_date": "2022-08-17",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "651-245-9901",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H400899380",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "n/a",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.