Radar, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RADAR, LLC

Doing business as

RADAR Counseling

Practice address

2546 Fruit Farm Rd
Collegeville, MN 56321-2700

Phone

(320) 363-2045

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By 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

Jeffrey Alan Glover, MA, MA, LPCC, LADC

Title

Clinic Director

Phone

(612) 747-1127

Specialties & licenses 2

Addresses

Other names 1

• RADAR Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 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.

• Jeff Glover, MA LADC

  • Counselor
  • Burnsville, MN
  • NPI 1477788461
  Medicare reassignment NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1992411391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ABBEY PLZ # 6044",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "563217700",
            "telephone_number": "612-747-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 FRUIT FARM RD",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "563212700",
            "telephone_number": "320-363-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "612-747-1127",
        "authorized_official_credential": "MA, MA, LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RADAR Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Group Health Plan, Inc. (HealthPartners Central Minnesota Clinics on the Campus of Saint John's)
• Eileen Johanna Haeg, PA-C
• Gayle Christine Leen, PA-C
• Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
• Order of St. Benedict (St. John's University Health Center)
• Holly Nichole Remmenga, ATC
• Justin Michael Rost, ATC, CSCS, MSE
• Saint John's University
• Michelle Stemper
• Samantha Bethany Taylor, ATC

• Mental Health Counselor in Collegeville, MN
• Providers in Collegeville, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.