Aurora Borealis Healing, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AURORA BOREALIS HEALING, LLC

Practice address

139 Northfield St
Duluth, MN 55803-1944

Phone

(218) 343-9323

Fax

(218) 520-1787

NPI assigned

Feb 2, 2022

Last updated

Feb 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tierney C Garver, MSW, LICSWNPI 1528691441

Title

Psychotherapist/Owner

Phone

(218) 343-9323

Specialties & licenses 1

Addresses

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.

• Tierney Christine Garver, MSW, LICSW,

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1528691441
  NPD Authorized official

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1891448510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 NORTHFIELD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558031944",
            "telephone_number": "218-343-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 NORTHFIELD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558031944",
            "telephone_number": "218-343-9323",
            "fax_number": "218-520-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA BOREALIS HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "GARVER",
        "authorized_official_first_name": "TIERNEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "218-343-9323",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Attia, PT
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• Upali P Aturaliya, MD
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• Gregory Gerald Ausmus, MD
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• Helen Dru Austin, RN
• Sarah Elyse Austreng
• Joseph M Autio, APRN,CRNA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Duluth, MN
• Providers in Duluth, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.