Organization Active NPI

Gayle Neuerburg LLC

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1043728751
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on May 14, 2023

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

Authorized official

Name
Mrs. Gayle Linda Neuerburg, LMFTNPI 1366878381
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1366878381OtherMNLMFT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.