Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Antwan Player

Counselor β€’ Bloomington, MN

Active NPI 1326207713 Individual Practitioner Male Practitioner
Practice location in NPPES

1325 American Blvd E Ste 5a
Bloomington, MN 554251152

Call 7637329476 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1325 American Blvd E Ste 5a

Bloomington, MN 554251152

Telephone 7637329476
Organization at the Same NPPES Address or Phone
Spectrum Of Light Inc Facility NPI 1679236293

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Melbourne, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bloomington and Minnesota

12 active clinicians are listed under Counselor with a practice address in Bloomington, MN (450 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

8.3% of these 12 clinicians have the CMS telehealth indicator.

8.3% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-12
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES MN CC02361

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Secondary Practice Locations

4450 W Eau Gallie Blvd, 200

Melbourne, FL 329347213

Phone: 3217282860

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 12, 2022

Registered at 1325 AMERICAN BLVD E STE 5A, BLOOMINGTON, MN 554251152 (Tel: 7637329476)

πŸ“
Updated Business Mailing Address October 12, 2022

Registered at 1325 AMERICAN BLVD E STE 5A, BLOOMINGTON, MN 554251152 (Tel: 7637329476)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2022

Counselor (license number reported to NPPES: MN CC02361)

βœ…
NPI Profile Active September 09, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 09, 2015

Registered at 4450 W EAU GALLIE BLVD, 200, MELBOURNE, FL 329347213 (Tel: 3217282860)

πŸ“
Business Mailing Address (Initial Record) September 09, 2015

Registered at 400 SHERIDAN RD, MELBOURNE, FL 329013122 (Tel: 3217225200)

πŸ‘€
Provider Name / Credentials (Initial Record) September 09, 2015

Recorded as ANTWAN PLAYER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2015

Counselor

🟒
Initial NPI Registration & Enumeration June 02, 2008

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1326207713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2008
Last Update: October 12, 2022
Sole Proprietor: No

Mailing Address

1325 American Blvd E Ste 5a

Bloomington, MN 554251152

Phone: 7637329476

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.