SHOREVIEW MENTAL HEALTH CENTER, LLC
NPI 1558735779
Psychologist in Shoreview, MN

NPI Status: Active since November 27, 2015

Contact Information

5985 RICE CREEK PKWY STE 201
SHOREVIEW, MN
ZIP 55126
Phone: (651) 348-7240
Fax: (651) 348-7265

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  • Organization
  • Psychologist
  • Accepts Insurance
  • CLIA Number: 24D2087653
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 12-01-2026

About SHOREVIEW MENTAL HEALTH CENTER, LLC

This page provides the complete NPI Profile along with additional information for Shoreview Mental Health Center, Llc, a provider established in Shoreview, Minnesota operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1558735779 assigned on November 2015. The practitioner's primary taxonomy code is 103T00000X with license number LP5097 (MN). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jeanette Balfe-groh Lp,psyd (Managing Member)

NPI
1558735779
Provider Name
SHOREVIEW MENTAL HEALTH CENTER, LLC
Entity Type
Organization
Location Address
5985 RICE CREEK PKWY STE 201 SHOREVIEW, MN 55126
Location Phone
(651) 348-7240
Location Fax
(651) 348-7265
Mailing Address
5985 RICE CREEK PKWY STE 201 SHOREVIEW, MN 55126
Mailing Phone
(651) 247-8128
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2015
Last Update Date
02-27-2018
Code Navigator

A psychologist like Shoreview Mental Health Center, Llc studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

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

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
LP5097
License State
MN
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Group Taxonomy 193400000X 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:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO

*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

JEANETTE BALFE-GROH LP,PSYD

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(651) 247-8128

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2087653
Facility Type
Assisted Living Facility
Certificate Effective Date
December 02, 2024
Certificate Expiration Date
December 01, 2026
Laboratory Director
PEGGY JOHNSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shoreview Mental Health Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558735779, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 4 + 3 + 1 + 0 + 7 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1558735779.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Professional)
5985 RICE CREEK PKWY STE 201
SHOREVIEW, MN 55126
Counselor (Addiction (Substance Use Disorder))
5985 RICE CREEK PKWY STE 201
SHOREVIEW, MN 55126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558735779, enumerated as an "organization" on November 27, 2015.

The provider is located at 5985 RICE CREEK PKWY STE 201 SHOREVIEW, MN 55126 and the phone number is (651) 348-7240.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.