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FAMILY BASED THERAPY ASSOCIATES
NPI 1891100293
Community/Behavioral Health in Chisago City, MN

Active since June 24, 2014
11549 LAKE LN, SUITE 2, CHISAGO CITY, MN 55013(651) 257-2733(651) 257-2783 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Based Therapy Associates NPPES

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

FAMILY BASED THERAPY ASSOCIATES (NPI 1891100293) is a healthcare organization registered as a community/behavioral health in Chisago City, Minnesota and active in the NPI registry since June 2014. The organization lists Randall Wallace, Director, as its authorized official.

NPPES Registry Identity

NPI1891100293
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFAMILY BASED THERAPY ASSOCIATES
Location Address11549 LAKE LN, SUITE 2Chisago City, MN 55013-9830
Mailing Address199 Coon Rapids Blvd Nw, Suite 306Coon Rapids, MN 55433-5831 · (763) 780-1520 · Fax (763) 780-2114
Phone(651) 257-2733
Fax(651) 257-2783
Organization SubpartNo
Authorized OfficialRandall WallaceDirector · (763) 780-1520
Enumeration DateJune 24, 2014
✔ NPI 1891100293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · 00789
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
11549 LAKE LN, Chisago City, MN 55013
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Other Providers at the Same Location NPPES 2

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

CHISAGO COUNTY HUMAN SERVICES
Public Health or Welfare
11549 LAKE LN, STE 3
CHISAGO CITY, MN 55013
Chisago County (651) 213-5751
SHEILA HERMES M.ED., LPCC, LADC
Counselor (Mental Health)
11549 LAKE LN, SUITE 2
CHISAGO CITY, MN 55013
Chisago County (651) 257-2733

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 Family Based Therapy Associates's NPI number?

The NPI number for Family Based Therapy Associates is 1891100293. It was assigned to this organization in the NPPES registry on June 24, 2014.

Where is Family Based Therapy Associates located?

Family Based Therapy Associates is located at 11549 Lake Ln Suite 2, Chisago City, MN 55013. The listed phone number is (651) 257-2733.

What is Family Based Therapy Associates's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Family Based Therapy Associates was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.