RANGE MENTAL HEALTH CENTER (NPI# 1457452823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457452823 |
| Entity Type | Organization |
| Organization Name | RANGE MENTAL HEALTH CENTER |
| Practice Address |
624 S 13th St Virginia MN 55792 |
| Mailing Address |
Po Box 1188 Virginia MN 55792-1188 |
| Practice Telephone | 2187492881 |
| Practice Fax Number | 2187493806 |
| Mailing Telephone | 2187492881 |
| Mailing Fax Number | 2187493806 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | MARY J CARPENTER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2187492881 |
| Authorized Official Credential | MSED, LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 104855400 | 05 |
| Street Address |
624 S 13TH ST |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134220528 | Barbara J Thorne | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1659560522 | Susan M Abrahamson | Social Worker | 624 S 13th St, Virginia, MN 55792 | 2007-10-17 |
| 1881783926 | Mary R Champa | Registered Nurse | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-10-12 |
| 1174615058 | Autumn V Cole | Psychologist | 624 S 13th St, Virginia, MN 55792 | 2006-09-29 |
| 1114028586 | Robert W Mcallister Jr. | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1801997044 | Craig D Stevens | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1386745537 | Carolyn R Dinneen | Social Worker | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1700987955 | Gordon W Hoelscher | Social Worker | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1205937687 | Pamela J Jarvis | Nurse Practitioner | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1578664967 | Timothy M Magee | Psychiatry & Neurology | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
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| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649283292 | Clarius Health | Clinic/Center | 8355 Unity Dr Ste 300, Virginia, MN 55792-4061 | 2006-08-14 |
| 1235638982 | Calm Waters Therapy, LLC | Clinic/Center | 601 S 2nd Ave, Virginia, MN 55792-2705 | 2018-02-08 |
| 1275907974 | Quad Cities Therapy Center, LLC | Clinic/Center | 8355 Unity Dr Ste 300, Virginia, MN 55792-4061 | 2015-11-18 |
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| 1508465147 | Piece of Mind Counseling Services, Pllc | Clinic/Center | 1122 Bemidji Ave N, Bemidji, MN 56601-2833 | 2020-10-24 |
| 1205433984 | Hopebridge Life Skills Center | Clinic/Center | 3617 E Lake St, Minneapolis, MN 55406-2148 | 2020-10-05 |
| 1275149007 | Clarity Counseling Services Pllc | Clinic/Center | 521 W Highway 2, Cohasset, MN 55721-2300 | 2020-09-17 |
| 1720693146 | Serene Therapy and Counseling Services LLC | Clinic/Center | 777 Berry St Apt 400b, Saint Paul, MN 55114-4006 | 2020-09-11 |
| 1427662592 | Threesixty, LLC | Clinic/Center | 4960 Miller Trunk Hwy # 600-b, Hermantown, MN 55811-1891 | 2020-09-04 |
| 1124639190 | Woodhaven Wellness | Clinic/Center | 3000 Carriage Dr, Hamel, MN 55340-9597 | 2020-08-13 |
| 1245840735 | Kalina Counseling Services | Clinic/Center | 120 7th St Unit 101, Two Harbors, MN 55616-1563 | 2020-08-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.