Organization Active NPI

Inside Emotions Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Anthony, MN
National Provider Identifier
1023879822
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INSIDE EMOTIONS THERAPY LLC
Practice address
3803 Silver Lake Rd NE Ste 100
Saint Anthony, MN 55421-4575
Phone
(612) 712-1993
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Jenny Odden, LPCC
Title
Owner/ LPCC
Phone
(612) 816-9462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3803 Silver Lake Rd NE Ste 100
Saint Anthony, MN 55421-4575

Mailing address

3803 Silver Lake Rd NE Ste 100
Saint Anthony, MN 55421-4575
Phone (612) 712-1993

National Provider Directory

National Provider Directory

Locations

3803 Silver Lake Rd NE
Ste 100
Saint Anthony, MN 55421
Phone (612) 712-1993

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1023879822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 SILVER LAKE RD NE STE 100",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554214575",
            "telephone_number": "612-712-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 SILVER LAKE RD NE STE 100",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554214575",
            "telephone_number": "612-712-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIDE EMOTIONS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "ODDEN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER/ LPCC",
        "authorized_official_telephone_number": "612-816-9462",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Anthony, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.