Community Action Center

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

COMMUNITY ACTION CENTER

Practice address

1651 Jefferson Pkwy Ste HS-20
Northfield, MN 55057-2760

Phone

(507) 664-3540

NPI assigned

Nov 23, 2022

Last updated

Nov 23, 2022By 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

Peg Kinda

Title

Consultant

Phone

(507) 401-0419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1982313409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 JEFFERSON PKWY STE HS-20",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572760",
            "telephone_number": "507-664-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 JEFFERSON PKWY STE HS-20",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572760",
            "telephone_number": "507-664-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "KINDA",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "507-401-0419"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Northfield, MN
• Providers in Northfield, MN by specialty
• Peer Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.