Organization Active NPI

Duluth Perinatal, PLLC

  • Marriage & Family Therapist
  • Duluth, MN
National Provider Identifier
1053034009
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DULUTH PERINATAL, PLLC
Practice address
324 W Superior St Ste 509
Duluth, MN 55802-1725
Phone
(218) 264-4665
Fax
(218) 264-3588
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Celleste Schnellbach, MS, LMFT, PMH-CNPI 1154953180
Title
Owner, Marriage & Family Therapist
Phone
(701) 330-2616

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

324 W Superior St Ste 509
Duluth, MN 55802-1725

Mailing address

324 W Superior St Ste 509
Duluth, MN 55802-1725
Phone (218) 264-4665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241204000683 MN Part B Supplier - Clinic/Group Practice 1850827684 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1053034009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 509",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021725",
            "telephone_number": "218-264-4665",
            "fax_number": "218-264-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 509",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021725",
            "telephone_number": "218-264-4665",
            "fax_number": "218-264-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH PERINATAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "SCHNELLBACH",
        "authorized_official_first_name": "CELLESTE",
        "authorized_official_title_or_position": "OWNER, MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "701-330-2616",
        "authorized_official_credential": "MS, LMFT, PMH-C"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.