Community Service Partners

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY SERVICE PARTNERS

Doing business as

Community Service Partners

Practice address

19198 Hilldale Ave
Lakeville, MN 55044-7955

Phone

(763) 528-3908

NPI assigned

Oct 9, 2021

Organization subpart

No

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

Authorized official

Name

Bahjo A Dirie

Title

Executive Director

Phone

(763) 528-3908

Specialties & licenses 1

Addresses

Other names 1

• Community Service Partners Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633737600000",
    "number": "1992467773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19198 HILLDALE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447955",
            "telephone_number": "763-528-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19198 HILLDALE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447955",
            "telephone_number": "763-528-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICE PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A",
        "authorized_official_last_name": "DIRIE",
        "authorized_official_first_name": "BAHJO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-528-3908"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "computer",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "telephone",
            "address_1": "19198 Hilldale Ave",
            "city": "Lakeville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550447955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "emails",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19198 Hilldale Ave",
            "city": "Lakeville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550447955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Service Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Coghlan, DPT
• Steven D. Cohan
• Jamie J Cole, MA
• Jasmine T Collier
• Cole Collins, RN
• Michelle Lynn Connery-Larscheid, LPN
• Erin Bridget Connors
• Rhonda Lynn Cornell, DNP, APRN, CNP
• Cosmopolitan Orthodontics LLC
• Karlie Cottier

• Community/Behavioral Health Agency in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.