Active NPI
Threshold Relational Therapy PLLC
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1083518054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THRESHOLD RELATIONAL THERAPY PLLC
- Practice address
- 1153 16TH Ave SE # 101
Minneapolis, MN 55414-2495 - Phone
- (612) 260-8841
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- 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
- Lauren Ivester Tetrault, MSW, LICSW
- Title
- Clinical Social Worker
- Phone
- (612) 260-8841
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
1153 16TH Ave SE # 101
Minneapolis, MN 55414-2495
Mailing address
1153 16TH Ave SE # 101
Minneapolis, MN 55414-2495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1083518054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 16TH AVE SE # 101",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554142495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 16TH AVE SE # 101",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554142495",
"telephone_number": "612-260-8841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRESHOLD RELATIONAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "IVESTER TETRAULT",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "612-260-8841",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.