Active NPI
Shelby Lynn Leske, MA, LPCC
- Mental Health Counselor
- Lake Elmo, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3773
- Practice address
- 8550 Hudson Blvd N
Lake Elmo, MN 55042-5500 - Phone
- (651) 254-8580
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3773 | MN | Primary |
Addresses
Primary practice location
8550 Hudson Blvd N
Lake Elmo, MN 55042-5500
Mailing address
3244 23Rd Ave S
Minneapolis, MN 55407-5584
Phone (320) 469-2962
Other practice location 1
8640 Eagle Creek Cir
Savage, MN 55378-4400
Phone (507) 540-0584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8550 Hudson Blvd N
Lake Elmo, MN 55042-5500
Phone (651) 254-8580
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3773 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| River Valley Behavioral Health & Wellness Center, PLLC | Current | Accepting new patients |
Locations
8550 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 254-8580
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
8640 Eagle Creek Cir
Savage, MN 55378
Phone (952) 746-7664
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Counseling Psychologist
- Savage, MN
- NPI 1316197148
-
- Family Medicine Physician
- Stillwater, MN
- NPI 1245608454
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1134824865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 23RD AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554075584",
"telephone_number": "320-469-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8550 HUDSON BLVD N",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550425500",
"telephone_number": "651-254-8580"
}
],
"practiceLocations": [
{
"address_1": "8640 Eagle Creek Cir",
"address_purpose": "LOCATION",
"city": "Savage",
"state": "MN",
"postal_code": "553784400",
"country_code": "US",
"telephone_number": "507-540-0584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESKE",
"first_name": "SHELBY",
"middle_name": "LYNN",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "3773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elmo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.