Leah Ione Craft, LMFT
Individual provider Active NPI Marriage & Family Therapist · Northfield, MN
NPI 1013592088 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1013592088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 3992 (MN)
- Practice address
- 570 Professional Dr
Northfield, MN 55057-2756 - Phone
- (507) 301-3412
- NPI assigned
- Mar 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nystrom and Associates LTD
Practice addresses (Care Compare)
1150 Montreal Ave
Suite 107
Saint Paul, MN 55116-2393
Phone (651) 313-8080
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240110002257 | MN | Practitioner - Marriage and Family Therapist | 6406207885 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3992 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Marriage & Family Therapist | Current |
Accepting new patients |
| Secure Base Counseling Center LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447
6040 Earle Brown Dr
Ste 100
Minneapolis, MN 55430
Phone (612) 470-4576
570 Professional Dr
Northfield, MN 55057
Phone (507) 301-3412
1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3992 | MN | Yes |
Addresses
Primary practice location
570 Professional Dr
Northfield, MN 55057-2756
Mailing address
570 Professional Dr
Northfield, MN 55057-2756
Other providers in Northfield, MN
- Noreen Lea Cooney
- Corbett Chiropractic and Health Enhancement, PA
- Daniel Grun Corbett
- Brittany Cordes
- Laurie Anne Corwine Frame
- Eric Allen Cram
- Create Meaning LLC
- Shannon Marie D'Alonzo
- Janelle Dahl
- Daniel Dimick, Ma, LP, LMFT, Inc.
All providers in Northfield, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.