Active NPI
Familymeans
- Mental Health Counselor
- Stillwater, MN
National Provider Identifier
1881690899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 800792-1-MHC
- 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
- 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
- Myra Hansen
- Title
- Credentialing Coordinator
- Phone
- (651) 789-4039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1129 Grand Ave
Saint Paul, MN 55105
Phone (651) 268-3252
1875 Northwestern Ave S
Stillwater, MN 55082
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.
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.