NPIMap

Organization Active NPI

Familymeans

  • Mental Health Counselor
  • Stillwater, MN
National Provider Identifier
1881690899
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
800792-1-MHC Issued in MN
Legal business name
FAMILYMEANS
Practice address
1875 Northwestern Ave S
Stillwater, MN 55082-7534
Phone
(651) 439-4840
Fax
(651) 439-4894
NPI assigned
Jun 23, 2005
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Myra Hansen
Title
Credentialing Coordinator
Phone
(651) 789-4039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 800792-1-MHC MN Primary

Addresses

Primary practice location

1875 Northwestern Ave S
Stillwater, MN 55082-7534

Mailing address

1875 Northwestern Ave S
Stillwater, MN 55082-7534
Phone (651) 439-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224001224 MN Part B Supplier - Clinic/Group Practice 9830085182 Receives reassigned benefits from 24 practitioners
Practice locations: Saint Paul, MN; Stillwater, MN

National Provider Directory

National Provider Directory

Locations

1129 Grand Ave
Saint Paul, MN 55105
Phone (651) 444-5051

1875 Northwestern Ave S
Stillwater, MN 55082
Phone (651) 439-4840

1200 Hosford St
Ste 201
Hudson, WI 54016
Phone (651) 439-4840

403 Stageline Rd
Fl 1
Hudson, WI 54016
Phone (715) 808-0453

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1881690899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 NORTHWESTERN AVE S",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827534",
            "telephone_number": "651-439-4840",
            "fax_number": "651-439-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 NORTHWESTERN AVE S",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827534",
            "telephone_number": "651-439-4840",
            "fax_number": "651-439-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYMEANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "651-789-4039"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "800792-1-MHC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.