PRAIRIE ST. JOHN'S CLINIC
NPI 1518059690
Counselor in Saint Paul, MN

NPI Status: Active since September 28, 2006

Contact Information

7616 CURRELL BLVD
SUITE 100
SAINT PAUL, MN
ZIP 55125
Phone: (651) 259-9700
Fax: (651) 259-9740

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  • Organization
  • Counselor

About PRAIRIE ST. JOHN'S CLINIC

This page provides the complete NPI Profile along with additional information for Prairie St. John's Clinic, a provider established in Saint Paul, Minnesota operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1518059690 assigned on September 2006. The practitioner's primary taxonomy code is 101Y00000X with license number 5063A (ND). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Jerry W Magnison Cfo (Chief Financial Officer)

NPI
1518059690
Provider Name
PRAIRIE ST. JOHN'S CLINIC
Entity Type
Organization
Location Address
7616 CURRELL BLVD SUITE 100 SAINT PAUL, MN 55125
Location Phone
(651) 259-9700
Location Fax
(651) 259-9740
Mailing Address
510 4TH ST S PO BOX 2027 FARGO, ND 58103
Mailing Phone
(701) 476-7221
Mailing Fax
(651) 259-9740
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
5063A
License State
ND
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JERRY W MAGNISON CFO

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(701) 476-7221

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
238T5PROTHER (01)MNMINNESOTA BLUE CROSS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518059690
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25280518618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 0 + 5 + 1 + 8 + 6 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518059690 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MRS. JENNIFER LANE GERVAIS LICSW

Social Worker

(Clinical)

7616 CURRELL BLVD
SUITE 275
WOODBURY, MN
ZIP 55125

(612) 859-9405

JOSHUA M KENT LICSW MSW

Social Worker

7616 CURRELL BLVD
SUITE 275
WOODBURY, MN
ZIP 55125

(612) 710-3671

SHARON H JASLOW LICSW

Social Worker

(Clinical)

7616 CURRELL BLVD
SUITE 290
WOODBURY, MN
ZIP 55125

(651) 769-6550

BRENDA L KITTILSON MS LPC

Social Worker

(Clinical)

7616 CURRELL BLVD
SUITE 290 BHSI LLC
WOODBURY, MN
ZIP 55125

(651) 769-6550

MARK IRWIN STEWART MS LP

Psychologist

(Clinical)

7616 CURRELL BLVD
SUITE 290
WOODBURY, MN
ZIP 55125

(651) 769-6550

JOHN GREGORY EICHTEN MD

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

7616 CURRELL BLVD
SUITE 290 BHSI LLC
WOODBURY, MN
ZIP 55125

(651) 769-6550

LYNN MARIE OSBORNE PT

Physical Therapist

7616 CURRELL BLVD
#270
WOODBURY, MN
ZIP 55125

(651) 702-7944

MS. LISA MARIE ZIETLOW MA LMFT

Marriage & Family Therapist

7616 CURRELL BLVD
SUITE 290
WOODBURY, MN
ZIP 55125

(651) 769-6550

ROME ALEXANDER LICSW

Social Worker

(Clinical)

7616 CURRELL BLVD
SUITE 280
WOODBURY, MN
ZIP 55125

(612) 280-0148

GLEN STAFFAN BJORNSON M.A., LP

Psychologist

(Counseling)

7616 CURRELL BLVD
SUITE 290
WOODBURY, MN
ZIP 55125

(651) 730-7525

MRS. JO ELIN MCBRIDE LMFT

Marriage & Family Therapist

7616 CURRELL BLVD
WOODBURY, MN
ZIP 55125

(651) 492-1988

LAURA NELSEN L.P.

Counselor

(Professional)

7616 CURRELL BLVD
SUITE 280
WOODBURY, MN
ZIP 55125

(651) 735-9228

ROBERT WAYNE ODEGAARD LADC

Counselor

(Addiction (Substance Use Disorder))

7616 CURRELL BLVD
WOODBURY, MN
ZIP 55125

(651) 259-9750

ST. CROIX PSYCHIATRIC, LLC

Psychiatry & Neurology

(Psychiatry)

7616 CURRELL BLVD
SUITE 100
WOODBURY, MN
ZIP 55125

(651) 259-9700

PERCY NELSON ENTERPRIES INC

In Home Supportive Care

7616 CURRELL BLVD
SUITE 200
WOODBURY, MN
ZIP 55125

(651) 209-6360

MS. LORA ELINORE MATZ M.S.,LICSW

Social Worker

(Clinical)

7616 CURRELL BLVD
SUITE 110
WOODBURY, MN
ZIP 55125

(651) 259-9763

KATHLYN NELSON PHD LLC

Community/Behavioral Health

7616 CURRELL BLVD
STE. 280
WOODBURY, MN
ZIP 55125

(651) 341-9667

SIMA SEAVER

Marriage & Family Therapist

7616 CURRELL BLVD
WOODBURY, MN
ZIP 55125

(651) 259-9700

PRAIRIE CARE

Marriage & Family Therapist

7616 CURRELL BLVD
WOODBURY, MN
ZIP 55125

(651) 259-9700

ABODE HOSPICE AND HOMECARE OF MN, LLC

Home Health

7616 CURRELL BLVD
SUITE 175
WOODBURY, MN
ZIP 55125

(651) 323-2806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518059690, enumerated as an "organization" on September 28, 2006.

The provider is located at 7616 CURRELL BLVD SUITE 100 SAINT PAUL, MN 55125 and the phone number is (651) 259-9700.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.