Active NPI
Heather A. Rhodes, M.S.
- Psychologist
- Grand Rapids, MN
National Provider Identifier
1912922832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3017
- Practice address
- 1200 S Pokegama Ave Ste 160
Grand Rapids, MN 55744-4296 - Phone
- (218) 327-0887
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LP3017 | MN | |
| Clinical Psychologist | 103TC0700X | LP3017 | MN | |
| Counseling Psychologist | 103TC1900X | LP3017 | MN | |
| Psychologist | 103T00000X | LP3017 | MN | Primary |
Addresses
Primary practice location
1200 S Pokegama Ave Ste 160
Grand Rapids, MN 55744-4296
Mailing address
PO Box 607
Coleraine, MN 55722-0607
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402817100 | Medicaid | MN | |
| LP3017 | Other | MN | BOARD OF PSYCH. LICENSE # |
| 83A52RH | Other | MN | BCBS PROVIDER ID |
| 62-05533 | Other | MN | UBH PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3017 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1912922832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 607",
"city": "COLERAINE",
"state": "MN",
"postal_code": "557220607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S POKEGAMA AVE STE 160",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557444296",
"telephone_number": "218-327-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "HEATHER",
"middle_name": "A.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "LP3017",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP3017",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP3017",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402817100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PSYCH. LICENSE #",
"identifier": "LP3017",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "83A52RH",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH PROVIDER ID",
"identifier": "62-05533",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.