Active NPI
Nurtured Therapy, LLC
- Clinical Social Worker
- St Louis Park, MN
National Provider Identifier
1982304226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- NURTURED THERAPY, LLC
- Practice address
- 1324 Flag Ave S
St Louis Park, MN 55426-1822 - Phone
- (507) 318-9093
- NPI assigned
- Mar 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taryn Elizabeth Ignaszewski
- Title
- Owner & Therapist
- Phone
- (507) 318-9093
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1324 Flag Ave S
St Louis Park, MN 55426-1822
Mailing address
1324 Flag Ave S
St Louis Park, MN 55426-1822
Phone (507) 318-9093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508219197 | Medicaid | MN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Edina, MN
- NPI 1508219197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695254400000",
"number": "1982304226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 FLAG AVE S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261822",
"telephone_number": "507-318-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 FLAG AVE S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261822",
"telephone_number": "507-318-9093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURTURED THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "IGNASZEWSKI",
"authorized_official_first_name": "TARYN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER & THERAPIST",
"authorized_official_telephone_number": "507-318-9093"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508219197",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.