Jacob Wrich

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

1097171 Issued in MN

Practice address

603 3Rd St W Apt 1
Hastings, MN 55033-1127

Phone

(651) 319-0193

NPI assigned

Nov 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stepping Out Incorporated

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hastings, MN
  • NPI 1841764768
  NPD (past) Authorized official

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1881163632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 3RD ST W",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331127",
            "telephone_number": "651-434-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 3RD ST W APT 1",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331127",
            "telephone_number": "651-319-0193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Sibley St Apt 2",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550331225",
            "country_code": "US",
            "telephone_number": "651-319-0260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "934 Bailey St",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550332213",
            "country_code": "US",
            "telephone_number": "651-319-0225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 6th St W",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550331627",
            "country_code": "US",
            "telephone_number": "651-432-3140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 3rd St W Apt 3",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550331127",
            "country_code": "US",
            "telephone_number": "651-319-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRICH",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "1097171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Joseph Wilson, MD
• William Winselman, OD
• Chantelle Wolner, PHARMD
• Heidi Woodland-Leine, PSY.D., LP
• Megan Woyke
• Sue Thao Yang
• Amanda Sue Young

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hastings, MN
• Providers in Hastings, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.