Active NPI
Midnight and Moonlight LLC
Doing business as Nature Kids Therapy
- Professional Counselor
- Minneapolis, MN
National Provider Identifier
1063226330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MIDNIGHT AND MOONLIGHT LLC
- Doing business as
- Nature Kids Therapy
- Practice address
- 3441 Cedar Ave S
Minneapolis, MN 55407-2336 - Phone
- (612) 913-7111
- NPI assigned
- Feb 5, 2025
- Last updated
- May 19, 2025
- 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
- Adrienne M Ero-Phillips, MAOT, OTR/L
- Title
- Occupational Therapist
- Phone
- (320) 266-4304
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary | |
| Pediatric Occupational Therapist | 225XP0200X | NU |
Addresses
Primary practice location
3441 Cedar Ave S
Minneapolis, MN 55407-2336
Mailing address
3441 Cedar Ave S
Minneapolis, MN 55407-2336
Phone (612) 913-7111
Other names 1
- Nature Kids Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Minneapolis, MN
- NPI 1962856500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1063226330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3441 CEDAR AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554072336",
"telephone_number": "612-913-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3441 CEDAR AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554072336",
"telephone_number": "612-913-7111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDNIGHT AND MOONLIGHT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-05",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "ERO-PHILLIPS",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "320-266-4304",
"authorized_official_credential": "MAOT, OTR/L"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nature Kids Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 19, 2025; 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.