A'Livia Juusola

Primary specialty

Social WorkerTaxonomy code 104100000X

License

28220 Issued in MN

Practice address

413 SE 13TH St
Grand Rapids, MN 55744-0015

Phone

(218) 327-3000

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• North Homes, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Grand Rapids, MN
  • NPI 1790826550
  NPD

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1902553803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SE 1ST ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443681",
            "telephone_number": "218-327-3000",
            "fax_number": "218-999-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SE 13TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557440015",
            "telephone_number": "218-327-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUUSOLA",
        "first_name": "A'LIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "28220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Johnson III, APRN, CNP
• John Anthony Joki
• Dawn Jolicoeur, LADC
• Thomas G. Jones, CRNA
• Renee' Marie Jore, LMFT, LADC
• K & K Case Management Inc.
• Hannah Marie Kallio, PHARMD
• Patricia Jean Kampa, PT, DPT
• Thomas Kefalas, M.D.
• Kelly Kerr

• Social Worker in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.