HELENA AUTISM THERAPY CENTER, INC (NPI# 1922449057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922449057 |
| Entity Type | Organization |
| Organization Name | HELENA AUTISM THERAPY CENTER, INC |
| Practice Address |
5301 E River Rd Suite 110 Fridley MN 55421-1024 |
| Practice Telephone | 7634323926 |
| Practice Fax Number | 7639512132 |
| Mailing Telephone | 7634323926 |
| Mailing Fax Number | 7639512132 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2018-04-14 |
| Authorized Official Name | RACHAEL TARRAS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7634323926 |
| Authorized Official Credential | MA, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 1111 | MN | Agencies |
| N | 251S00000X | Community/Behavioral Health | 5007 | MN | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 1669 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1184804718 | 05 | |
| MN | 1265748024 | 05 | |
| MN | 1295731024 | 05 | |
| MN | 1346497468 | 05 |
| Street Address |
5301 E RIVER RD SUITE 110 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55421-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538694120 | Meredith Bilse | Marriage & Family Therapist | 5301 E River Rd, Fridley, MN 55421-1024 | 2017-04-20 |
| 1902277783 | Mai Nhia Thao | Marriage & Family Therapist | 5301 E River Rd, Suite 110, Fridley, MN 55421-1024 | 2015-10-19 |
| 1285017426 | Marit Waters | Counselor | 5301 E River Rd, Suite 110, Fridley, MN 55421-1024 | 2015-07-07 |
| 1295116408 | Helena Autism Therapy Center | Early Intervention Provider Agency | 5301 E River Rd, Suite 110, Fridley, MN 55421-1024 | 2015-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241782 | Cc Group Home Care Inc | Non-emergency Medical Transport (VAN) | 524 Huset Pkwy Ne, Columbia Heights, MN 55421 | 2019-11-30 |
| 1710455324 | Victoria F Renner | Physical Therapist | 4512, 3700 Foss Rd, Minneapolis, MN 55421 | 2018-11-13 |
| 1245721976 | Complete Care Home Care LLC | Home Health | 4111 Central Ave Ne North Building, Suite 202, Columbia Heights, MN 55421 | 2018-05-29 |
| 1053816389 | Anoka Health Center LLC | Clinic/Center | 4111 Central Ave N.e, Suite 201 North Building, Columbia Heights, MN 55421 | 2018-03-28 |
| 1508381047 | Minnesota Home Health Care LLC | Home Health | 534 Huset Parkway, Columbia Heights, MN 55421 | 2017-08-05 |
| 1720520448 | Tesfa International School | Local Education Agency (LEA) | 1550 40th Avenue Northeast, Columbia Heights, MN 55421 | 2016-11-11 |
| 1487012548 | Icare Transportation | Non-emergency Medical Transport (VAN) | 2816 Silver Ln Ne #305, Saint Anthony, MN 55421 | 2016-02-04 |
| 1194183368 | Warsame Warsame | Non-emergency Medical Transport (VAN) | 1115 45th Ave Ne, Columbia Heights, MN 55421 | 2016-02-03 |
| 1083083398 | Epic Transportation LLC | Clinic/Center | 355 Orendorff Way Ne, Columbia Heights, MN 55421 | 2015-09-16 |
| 1508281023 | Alexandra Marie Hodson | Occupational Therapist | 5155 E. River Rd, Suite #403, Fridley, MN 55421 | 2014-02-20 |
| Find all providers in zip 55421 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786209 | Aware Healthcare Services LLC | Community/Behavioral Health | 6051 University Ave Ne Apt 308, Fridley, MN 55432-2874 | 2020-03-23 |
| 1770024978 | Positive Therapy, LLC | Community/Behavioral Health | 6831 7th St Ne, Fridley, MN 55432-4428 | 2017-03-20 |
| 1548428170 | Lighthouse Psychological Services Inc | Community/Behavioral Health | 5155 E River Rd Ste 401, Fridley, MN 55421-3777 | 2008-05-30 |
| 1154441491 | Community Options Fridley Inc. | Community/Behavioral Health | 5384 5th St Ne, Fridley, MN 55421-1108 | 2007-03-30 |
| 1922444157 | Rescare Minnesota, Inc. | Community/Behavioral Health | 5384 5th St Ne, Fridley, MN 55421-1108 | 2013-05-15 |
| 1972774834 | Lighthouse Psychological Services, Inc. | Community/Behavioral Health | 5155 E River Rd, Fridley, MN 55421-1025 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
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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.