Organization
GENERATIONS: COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN JOAN GORMAN LICSW (PRESIDENT)
(612) 676-1604
Entity
Organization
Contact information
Practice address
60 MARIE AVE E, SAINT PAUL, MN 55118-5910
(651) 552-9071
(651) 552-9874
Mailing address
2649 PARK AVE S., MINNEAPOLIS, MN 55047
(612) 676-1604
(612) 379-8235
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1500
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025101 00
MA IN-OFFICE - GENERATION
MN
01
—
0616371 00
MA - KATIE SHAW
MN
01
—
1366084 00
MA - JENNIFER GERVAIS
MN
01
—
1534157 00
MA - BEKAH SALITERMAN
MN
01
—
4467043 00
MA - JAY THEISEN
MN
01
—
4724372 00
MA - JORDAN HART
MN
01
—
5041406 00
MA - JO MCBRIDE
MN
01
—
5124786 00
MA - KARLA MUSSER
MN
01
—
558915 00
MA - KIRSTEN JANKOVICH
MN
01
—
7126875 00
MA - JOY PETERMANN
MN
01
—
7194978 00
MA - KATHLEEN GORMAN
MN
01
—
7676920 00
MA - VESSELA KOUNEVA
MN
01
—
8226083 00
MA - NICOLE HELLAND
MN
01
—
8273090 00
MA - JOHN LAMPERT
MN
01
—
8279578 00
MA IN-HOME - GENERATIONS
MN
01
—
9831134 00
MA CADI - GENERATIONS
MN
Enumeration date
09/28/2006
Last updated
04/03/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us