Organization Active NPI

Minnesota Psychoanalytic Collective

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1013840982
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINNESOTA PSYCHOANALYTIC COLLECTIVE
Practice address
2709 Portland Ave
Minneapolis, MN 55407-1020
Phone
(320) 290-7330
Fax
(320) 290-7330
NPI assigned
Jun 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel Lehman Conway, MS LPCCNPI 1447848692
Title
Member
Phone
(320) 290-7330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2709 Portland Ave
Minneapolis, MN 55407-1020

Mailing address

2709 Portland Ave
Minneapolis, MN 55407-1020
Phone (320) 290-7330

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1013840982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071020",
            "telephone_number": "320-290-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071020",
            "telephone_number": "320-290-7330",
            "fax_number": "320-290-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA PSYCHOANALYTIC COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LEHMAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "320-290-7330",
        "authorized_official_credential": "MS LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.