Active NPI
The Mosaic Group PLLC
- Marriage & Family Therapist
- Circle Pines, MN
National Provider Identifier
1891347423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- THE MOSAIC GROUP PLLC
- Practice address
- 620 Civic Heights Dr Ste 103
Circle Pines, MN 55014-4709 - Phone
- (651) 271-7258
- NPI assigned
- Jul 13, 2019
- 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
- Rachel Joy Larson, LMFT
- Title
- Co-Owner
- Phone
- (651) 271-7258
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
620 Civic Heights Dr Ste 103
Circle Pines, MN 55014-4709
Mailing address
620 Civic Heights Dr Ste 103
Circle Pines, MN 55014-4709
Phone (651) 271-7258
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Marriage & Family Therapist
- Circle Pines, MN
- NPI 1346807005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562976000000",
"number": "1891347423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 CIVIC HEIGHTS DR STE 103",
"city": "CIRCLE PINES",
"state": "MN",
"postal_code": "550144709",
"telephone_number": "651-271-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CIVIC HEIGHTS DR STE 103",
"city": "CIRCLE PINES",
"state": "MN",
"postal_code": "550144709",
"telephone_number": "651-271-7258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MOSAIC GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-13",
"last_updated": "2019-07-13",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "651-271-7258",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Circle Pines, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.