NPIMap

Organization Active NPI

Helena Autism Therapy Center, Inc

  • Community/Behavioral Health Agency
  • Fridley, MN
National Provider Identifier
1922449057
Registry record updated Apr 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1669 Issued in MN
Legal business name
HELENA AUTISM THERAPY CENTER, INC
Practice address
5301 E River Rd
Suite 110
Fridley, MN 55421-1024
Phone
(763) 432-3926
Fax
(763) 951-2132
NPI assigned
Jul 17, 2013
Last updated
Apr 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2018

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

Authorized official

Name
Rachael Tarras, MA, LMFTNPI 1346497468
Title
Director of Operations
Phone
(763) 432-3926

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1111 MN
Community/Behavioral Health Agency 251S00000X 5007 MN
Community/Behavioral Health Agency 251S00000X 1669 MN Primary

Addresses

Primary practice location

5301 E River Rd
Suite 110
Fridley, MN 55421-1024

Mailing address

5301 E River Rd
Suite 110
Fridley, MN 55421-1024
Phone (763) 432-3926

Other identifiers 4

IdentifierTypeStateIssuer
1184804718MedicaidMN
1295731024MedicaidMN
1346497468MedicaidMN
1265748024MedicaidMN

National Provider Directory

National Provider Directory

Locations

5637 Brooklyn Blvd
Minneapolis, MN 55429
Phone (763) 432-3926

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523664000000",
    "number": "1922449057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E RIVER RD",
            "address_2": "SUITE 110",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554211024",
            "telephone_number": "763-432-3926",
            "fax_number": "763-951-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E RIVER RD",
            "address_2": "SUITE 110",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554211024",
            "telephone_number": "763-432-3926",
            "fax_number": "763-951-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELENA AUTISM THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2018-04-14",
        "status": "A",
        "authorized_official_last_name": "TARRAS",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "763-432-3926",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1111",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "5007",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184804718",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295731024",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346497468",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265748024",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2018; 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.