Active NPI
Gayle Neuerburg LLC
- Marriage & Family Therapist
- Saint Cloud, MN
National Provider Identifier
1043728751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- GAYLE NEUERBURG LLC
- Practice address
- 1521 Northway Dr Ste 110
Saint Cloud, MN 56303-1274 - Phone
- (218) 721-2982
- NPI assigned
- Jan 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gayle Linda Neuerburg, LMFT
- Title
- Marriage and Family Therapist
- Phone
- (218) 721-2982
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | 2443 | MN |
Addresses
Primary practice location
1521 Northway Dr Ste 110
Saint Cloud, MN 56303-1274
Mailing address
1736 Lucille LN
Saint Cloud, MN 56303-0432
Phone (218) 721-2982
Other practice location 1
600 25th Ave S
Saint Cloud, MN 56301-4841
Phone (320) 255-0343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366878381 | Other | MN | LMFT |
National Provider Directory
National Provider DirectoryLocations
600 25th Ave S
Saint Cloud, MN 56301
Phone (320) 255-0343
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Saint Cloud, MN
- NPI 1366878381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684022400000",
"number": "1043728751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 LUCILLE LN",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563030432",
"telephone_number": "218-721-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 NORTHWAY DR STE 110",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031274",
"telephone_number": "218-721-2982"
}
],
"practiceLocations": [
{
"address_1": "600 25th Ave S",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "563014841",
"country_code": "US",
"telephone_number": "320-255-0343",
"fax_number": "320-654-0318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GAYLE NEUERBURG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-16",
"last_updated": "2023-05-14",
"certification_date": "2023-05-14",
"status": "A",
"authorized_official_last_name": "NEUERBURG",
"authorized_official_first_name": "GAYLE",
"authorized_official_middle_name": "LINDA",
"authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
"authorized_official_telephone_number": "218-721-2982",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "2443",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "1366878381",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.