Active NPI
Heather Ann Liebswager, LPCC
- Counseling Psychologist
- Saint Paul, MN
National Provider Identifier
1124622535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- CC02652
- Practice address
- 345 University Ave W
Saint Paul, MN 55103-2091 - Phone
- (651) 647-0647
- NPI assigned
- Nov 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | CC02652 | MN | Primary |
Addresses
Primary practice location
345 University Ave W
Saint Paul, MN 55103-2091
Mailing address
838 Clear Ave
Saint Paul, MN 55106-1819
Phone (612) 790-5161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC02652 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1124622535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 CLEAR AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551061819",
"telephone_number": "612-790-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551032091",
"telephone_number": "651-647-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBSWAGER",
"first_name": "HEATHER",
"middle_name": "ANN",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "CC02652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.