Organization Active NPI

Liminal Journeys Therapy LLC

  • Professional Counselor
  • Burnsville, MN
National Provider Identifier
1073401360
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIMINAL JOURNEYS THERAPY LLC
Practice address
12400 Portland Ave Ste 180
Burnsville, MN 55337-6875
Phone
(612) 405-3514
NPI assigned
Jun 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Jamie R Houk, MA, LPCCNPI 1558946574
Title
Owner
Phone
(612) 405-3514

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

12400 Portland Ave Ste 180
Burnsville, MN 55337-6875

Mailing address

12400 Portland Ave Ste 180
Burnsville, MN 55337-6875
Phone (612) 405-3514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250903000558 MN Part B Supplier - Clinic/Group Practice 2466953112 Receives reassigned benefits from 1 practitioner
Practice locations: Burnsville, MN

National Provider Directory

National Provider Directory

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": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1073401360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 180",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376875",
            "telephone_number": "612-405-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 180",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376875",
            "telephone_number": "612-405-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMINAL JOURNEYS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "HOUK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-405-3514",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.