NPIMap

Organization Active NPI

Souls Untethered, Cheryl Levadney, LCSW, PLLC

  • Clinical Social Worker
  • Minot, ND
National Provider Identifier
1194364455
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOULS UNTETHERED, CHERYL LEVADNEY, LCSW, PLLC
Practice address
600 22ND Ave NW Ste U2
Minot, ND 58703-0986
Phone
(701) 833-8070
Fax
(701) 839-9071
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Cheryl Ann Levadney, LCSWNPI 1720399454
Title
Owner/Therapist
Phone
(701) 833-8070

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

600 22ND Ave NW Ste U2
Minot, ND 58703-0986

Mailing address

600 22ND Ave NW Ste U2
Minot, ND 58703-0986
Phone (701) 833-8070

Other identifiers 1

IdentifierTypeStateIssuer
19271MedicaidND

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://patientonlineportal.com/idp/account/signin?ReturnUrl=%2fidp%2fissue%2fwsfed%3fwa%3dwsignin1. Health Information Exchange (HIE)
Other URL https://patientonlineportal.com/idp/account/signin?ReturnUrl=%2fidp%2fissue%2fwsfed%3fwa%3dwsignin1. Health Information Exchange (HIE)

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": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1194364455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 22ND AVE NW STE U2",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030986",
            "telephone_number": "701-833-8070",
            "fax_number": "701-839-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 22ND AVE NW STE U2",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030986",
            "telephone_number": "701-833-8070",
            "fax_number": "701-839-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULS UNTETHERED, CHERYL LEVADNEY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "LEVADNEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "701-833-8070",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19271",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://patientonlineportal.com/idp/account/signin?ReturnUrl=%2fidp%2fissue%2fwsfed%3fwa%3dwsignin1.",
            "affiliation": "N",
            "endpointDescription": "ICANotes Patient Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "600 22nd Ave NW Ste U2",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587030986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://patientonlineportal.com/idp/account/signin?ReturnUrl=%2fidp%2fissue%2fwsfed%3fwa%3dwsignin1.",
            "affiliation": "N",
            "endpointDescription": "ICANotes",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "600 22nd Ave NW Ste U2",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587030986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.