AMETHYST COUNSELING SERVICES, INC. (NPI# 1629117452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629117452 |
| Entity Type | Organization |
| Organization Name | AMETHYST COUNSELING SERVICES, INC. |
| Practice Address |
1405 Silver Lake Rd Nw New Brighton MN 55112-9301 |
| Practice Telephone | 6516334532 |
| Practice Fax Number | 6516339311 |
| Mailing Telephone | 6516334532 |
| Mailing Fax Number | 6516339311 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | TAMMY JON JOHNSON (PROGRAM COORIDANATOR) |
| Authorized Official Telephone | 6516334532 |
| Authorized Official Credential | LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 820357100 | MN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UBH | 8460134 | 01 |
| MN | BLUE CROSS | 4269AM | 01 |
| MN | UBH | 8443304 | 01 |
| MN | 820357100 | 05 | |
| MN | PREFERREDONE | 97081 | 01 |
| MN | UBH | 8460135 | 01 |
| MN | HEALTHPARTNERS | 18676 | 01 |
| MN | UCARE | 101961 | 01 |
| Street Address |
1405 SILVER LAKE RD NW |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-9301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134233018 | Tamara Lu Felegy | Physical Therapist | 1405 Silver Lake Rd Nw, Suite 8, New Brighton, MN 55112-9301 | 2006-08-18 |
| 1760830251 | Britt Cain | Counselor | 1405 Silver Lake Rd Nw, Suite 18, New Brighton, MN 55112-9301 | 2016-05-25 |
| 1851760383 | Sarah Rumpf | Counselor | 1405 Silver Lake Rd Nw, Suite 18, New Brighton, MN 55112-9301 | 2015-09-15 |
| 1083098081 | Mike Marek Counseling LLC | Community/Behavioral Health | 1405 Silver Lake Rd Nw, New Brighton, MN 55112-9301 | 2015-07-20 |
| 1447658406 | Kinsella Corporation | In Home Supportive Care | 1405 Silver Lake Rd Nw, Suite 3, New Brighton, MN 55112-9301 | 2014-12-08 |
| 1831594506 | Wendy Alm | Marriage & Family Therapist | 1405 Silver Lake Rd Nw, Suite 18, New Brighton, MN 55112-9301 | 2014-10-23 |
| 1609114883 | Cornelius Counseling, LLC | Counselor | 1405 Silver Lake Rd Nw, New Brighton, MN 55112-9301 | 2013-01-23 |
| 1891030540 | Laurie L Rossell | Counselor | 1405 Silver Lake Rd Nw, New Brighton, MN 55112-9301 | 2012-12-06 |
| 1043555790 | Michael J Tschida | Counselor | 1405 Silver Lake Rd Nw, New Brighton, MN 55112-9301 | 2012-12-06 |
| 1336418235 | Amor Home Care Services, LLC | Nursing Care | 1405 Silver Lake Rd Nw, Suite 18, New Brighton, MN 55112-9301 | 2011-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487088290 | Latitudes Treatment Center LLC | Substance Abuse Rehabilitation Facility | 550 Main St Ste 230, New Brighton, MN 55112-3274 | 2013-08-28 |
| 1982997136 | Cec Penn Pavilion | Substance Abuse Rehabilitation Facility | 701 Penn Ave, New Brighton, PA 15066-1342 | 2011-05-20 |
| 1487056123 | Wbk Healthcare Services LLC | Substance Abuse Rehabilitation Facility | 1000 3rd Ave, New Brighton, PA 15066-2012 | 2014-09-25 |
| 1316155104 | Alternatives | Substance Abuse Rehabilitation Facility | 550 Main St, New Brighton, MN 55112-3271 | 2007-05-18 |
| 1306053376 | Alternatives | Substance Abuse Rehabilitation Facility | 550 Main St, New Brighton, MN 55112-3271 | 2007-05-17 |
| 1104943349 | Meridian Behavioral Health | Substance Abuse Rehabilitation Facility | 550 Main St, New Brighton, MN 55112-3271 | 2007-03-23 |
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|---|---|---|---|---|
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| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
| 1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
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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.