Program Solutions, LLC

Primary specialty

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

Legal business name

PROGRAM SOLUTIONS, LLC

Practice address

3249 Hennepin Ave Ste 210a
Minneapolis, MN 55408-3413

Phone

(612) 361-7260

NPI assigned

Sep 22, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Christine Kerno, LICSWNPI 1730357443

Title

Owner

Phone

(612) 361-7260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine M Kerno, MSW, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1730357443
  Medicare reassignment NPD Authorized official
• Nycole Lynn Wiek, MSW, LGSW

  • Clinical Social Worker
  • Elk River, MN
  • NPI 1184381055
  NPD (past)

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569110400000",
    "number": "1942851936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 HENNEPIN AVE STE 210A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083413",
            "telephone_number": "612-361-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 HENNEPIN AVE STE 210A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083413",
            "telephone_number": "612-361-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAM SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-22",
        "last_updated": "2019-09-22",
        "status": "A",
        "authorized_official_last_name": "KERNO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-361-7260",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julia Prokop, PHARMD
• Christina Linh Prom

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minneapolis, MN
• Providers in Minneapolis, 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 Sep 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.