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PRAIRIE ST. JOHN'S CLINIC
NPI 1073601258
Clinic/Center - Adolescent and Children Mental Health in Woodbury, MN

Active since October 11, 2006
7616 CURRELL BLVD, SUITE 100, WOODBURY, MN 55125(651) 259-9700(651) 259-9740 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prairie St. John's Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE ST. JOHN'S CLINIC (NPI 1073601258) is a healthcare organization registered as an adolescent and children mental health in Woodbury, Minnesota and active in the NPI registry since October 2006. The organization lists Jerry W Magnison, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073601258
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NamePRAIRIE ST. JOHN'S CLINIC
Location Address7616 CURRELL BLVD, SUITE 100Woodbury, MN 55125-2290
Mailing Address510 4th St S, Po Box 2027Fargo, ND 58103-1914 · (701) 476-7221 · Fax (701) 476-7261
Phone(651) 259-9700
Fax(651) 259-9740
Organization SubpartNo
Authorized OfficialJerry W MagnisonChief Financial Officer · (701) 476-7221
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073601258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in ND · 5063A
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
7616 CURRELL BLVD, Woodbury, MN 55125
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Other Identifiers 1

Other238T5PRMN · Minnesota Blue Cross

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LISA MARIE ZIETLOW MA LMFT
Marriage & Family Therapist
7616 CURRELL BLVD, SUITE 290
WOODBURY, MN 55125
Washington County (651) 769-6550
PRAIRIE CARE
Marriage & Family Therapist
7616 CURRELL BLVD
WOODBURY, MN 55125
Washington County (651) 259-9700
GLEN STAFFAN BJORNSON M.A., LP
Psychologist (Counseling)
7616 CURRELL BLVD, SUITE 290
WOODBURY, MN 55125
Washington County (651) 730-7525
LYNN MARIE OSBORNE PT
Physical Therapist
7616 CURRELL BLVD, #270
WOODBURY, MN 55125
Washington County (651) 702-7944
SHARON H JASLOW LICSW
Social Worker (Clinical)
7616 CURRELL BLVD, SUITE 290
WOODBURY, MN 55125
Washington County (651) 769-6550
MS. LORA ELINORE MATZ M.S.,LICSW
Social Worker (Clinical)
7616 CURRELL BLVD, SUITE 110
WOODBURY, MN 55125
Washington County (651) 259-9763
PRAIRIE ST. JOHN'S CLINIC
Social Worker
7616 CURRELL BLVD, SUITE 100
SAINT PAUL, MN 55125
Washington County (651) 259-9700
ROBERT WAYNE ODEGAARD LADC
Counselor (Addiction (Substance Use Disorder))
7616 CURRELL BLVD
WOODBURY, MN 55125
Washington County (651) 259-9750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie St. John's Clinic's NPI number?

The NPI number for Prairie St. John's Clinic is 1073601258. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Prairie St. John's Clinic located?

Prairie St. John's Clinic is located at 7616 Currell Blvd Suite 100, Woodbury, MN 55125. The listed phone number is (651) 259-9700.

What is Prairie St. John's Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Prairie St. John's Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.