LUTHERAN SOCIAL SERVICE OF MINNESOTA


Address: 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440
Phone: 3202517700

LUTHERAN SOCIAL SERVICE OF MINNESOTA (NPI# 1629192430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629192430
Entity Type Organization
Organization Name LUTHERAN SOCIAL SERVICE OF MINNESOTA
Practice Address 22 Wilson Ave Ne Ste 110
Saint Cloud
MN 56304-0440
Mailing Address 2485 Como Ave
Saint Paul
MN 55108-1445
Practice Telephone 3202517700
Practice Fax Number 3202518898
Mailing Telephone 8005825260
Mailing Fax Number 6519692350
Enumeration Date 2007-03-19
Last Update Date 2017-02-24
Authorized Official Name MS. BRIGID PETERSON (CHIEF COMPLIANCE OFFICER)
Authorized Official Telephone 6513109451
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114385085 Lutheran Social Service of Minnesota Intermediate Care Facility, Mentally Retarded 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 2016-02-05
1255797718 Lutheran Social Service of Minnesota Intermediate Care Facility, Mentally Retarded 497 Gates Ave Nw, Elk River, MN 55330-2633 2016-01-13
1073742383 Lutheran Social Service of Minnesota Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 198 Penny Lane, Leroy, MN 55951 2009-07-08
1841441854 Lutheran Social Service of Minnesota Substance Abuse Rehabilitation Facility 39413 120th St Sw, East Grand Forks, MN 56721-9121 2008-10-08
1588855878 Lutheran Social Service of Minnesota Substance Abuse Rehabilitation Facility 28579 Us Highway 10, Springhill Group Home, Detroit Lakes, MN 56501-7308 2007-08-05
1376733659 Lutheran Social Service of Minnesota Substance Abuse Rehabilitation Facility 820 Eickhof Blvd, Kairos House, Crookston, MN 56716-2600 2007-08-01
1609080290 Lutheran Social Service of Minnesota Community/Behavioral Health 2485 Como Ave, Saint Paul, MN 55108-1445 2007-05-10
1801968300 Lutheran Social Service of Minnesota Counselor 333 Litchfield Avenue Sw, Willmar, MN 56201-3352 2006-11-14
1295928240 Lutheran Social Service of Minnesota Case Management 211 Holmes St W, Detroit Lakes, MN 56501-3023 2007-08-23
1396938742 Lutheran Social Service of Minnesota Case Management 731 Western Ave, Fergus Falls, MN 56537-4804 2007-08-20

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities LUTHERAN SOCIAL SERVICE OF MINNESOTA 424 West Superior St Ste 600, Dduluth, Minnesota 55802
Colorado Business Entities Lutheran Social Service of Minnesota 2485 Como Avenue, St. Paul, MN 55108
Iowa Business Entities LUTHERAN SOCIAL SERVICE OF MINNESOTA 2485 Como Ave, St Paul, MN 55108

Office Location

Street Address 22 WILSON AVE NE STE 110
City SAINT CLOUD
State MN
Zip Code 56304-0440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114024817 Gail Oline Anderson Counselor 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 2006-09-17
1891326120 Markie E Gohman Counselor 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 2020-01-27
1528627098 Jillana Joy Mccray Social Worker 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 2019-06-10
1528526324 Jessica E Schlieman Marriage & Family Therapist 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 2019-03-11
1689170300 Anika L Athman Counselor 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 2018-04-02
1871092015 Allison M Miller Marriage & Family Therapist 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 2018-02-02
1447668108 Rebecca Andersen Marriage & Family Therapist 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 2014-07-25
1598173254 Jessica L Westby Social Worker 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 2014-07-25
1588982250 Miho Adkins Marriage & Family Therapist 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 2010-05-05
1356507578 Michael John Dejong Social Worker 22 Wilson Ave Ne Ste 110, Saint Cloud, MN 56304-0440 2008-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316597701 Liza Aberle Naturopath 22 Wilson Ave Ne # 205, Saint Cloud, MN 56304 2019-09-17
1902386089 Jd Home Health Care Clinic/Center 4896 52nd St, St. Cloud, MN 56304 2018-08-17
1861490690 Julia Anna Blonigen Speech-Language Pathologist 1882 Kilian Blvd, St Cloud, MN 56304 2005-07-14
1700111705 St. Cloud Metropolitan Transit Commission Non-emergency Medical Transport (VAN) 665 Franklin Ave Ne, Saint Cloud, MN 56304-0225 2009-10-08
1053364976 In Home Health LLC Home Health 605 Franklin Ave Ne, Saint Cloud, MN 56304-0225 2006-05-19
1376946806 Charity Anne Hans Social Worker 511 3rd St Ne, Saint Cloud, MN 56304-0311 2014-09-29
1568082428 Cloud Home Health Care Services LLC Clinic/Center 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 2020-04-21
1326688417 Sunshine Care Services Inc In Home Supportive Care 22 Wilson Ave Ne Ste 15, Saint Cloud, MN 56304-0440 2020-01-07
1295039204 Rose Melinda Stark-rose Psychologist 22 Wilson Ave Ne # 110, Saint Cloud, MN 56304-0440 2011-01-05
1750448478 Robin Stacey Colburn Advanced Practice Midwife 22 Wilson Ave Ne Ste 205, Saint Cloud, MN 56304-0440 2007-01-02
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962049387 Catalyst Counseling Associates LLC Community/Behavioral Health 1320 Louisiana Ave Ste A, Saint Cloud, FL 34769-4116 2019-12-04
1497204713 Debra Schmidt, LLC Community/Behavioral Health 2700 1st St N Ste 209, Saint Cloud, MN 56303-4584 2016-09-28
1225372832 Rising Up, LLC Community/Behavioral Health 3315 Roosevelt Rd Ste 200a, Saint Cloud, MN 56301-6269 2012-11-20
1275785610 Cook Counseling Services Community/Behavioral Health 101 7th Ave S Ste 200, Saint Cloud, MN 56301-5010 2008-10-16
1932309267 Midwest Eap Solutions Community/Behavioral Health 1010 W Saint Germain St, Suite 580, Saint Cloud, MN 56301-3406 2007-07-24
1942327432 Catholic Charities of The Diocese of St Cloud Community/Behavioral Health 1730 7th Ave S, Saint Cloud, MN 56301-5711 2007-03-22
1740304187 Rem Central Lakes, Inc. Community/Behavioral Health 2700 1st St N Ste 103, Saint Cloud, MN 56303-4202 2007-03-19
1861007692 Circle of Happiness LLC Community/Behavioral Health 44 28th Ave N Lowr 46, Saint Cloud, MN 56303-4588 2020-09-09
1689286650 Midpoint Support Services L.L.C. Community/Behavioral Health 1026 4th St Se Ste 202, Saint Cloud, MN 56304-1371 2020-08-20
1083187579 Seal Dwyer Counseling LLC Community/Behavioral Health 14 7th Ave N, Saint Cloud, MN 56303-4753 2019-01-07
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Competitor

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City SAINT CLOUD
Zip Code 56304

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Dataset Information

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.

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