Emotional Health Care

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

11797 Issued in MN

Legal business name

EMOTIONAL HEALTH CARE

Practice address

2311 146TH Ave NE
Ham Lake, MN 55304-6408

Phone

(763) 242-9240

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By 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

Mr. Lyle G Elenkiwich, LICSWNPI 1649461245

Title

Mental Health Provider

Phone

(763) 242-9240

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Lyle Gene Elenkiwich, MSW, LICSW

  • Clinical Social Worker
  • Ham Lake, MN
  • NPI 1649461245
  Authorized official Same address or phone

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1932398971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 146TH AVE NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553046408",
            "telephone_number": "763-242-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 146TH AVE NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553046408",
            "telephone_number": "763-242-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOTIONAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "ELENKIWICH",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MENTAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "763-242-9240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "11797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201055100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crosstown Chiropractic PA
• DBT & Ifs Therapy Center L.L.C. (Mental Health Therapy)
• Dr Musland & Associates LLC
• Lucas Ronald Eggerichs, DC
• Lyle Gene Elenkiwich, MSW, LICSW
• Logan Engelstad, DC
• Mackenzie Engelstad, DC
• Paula Jean Entsminger, MS, CCC, SLP
• Exceptional Chiropractic P a
• Flomena Home Health Care LLC

• Case Management Agency in Ham Lake, MN
• Providers in Ham Lake, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.