Organization Active NPI

Life in Color Psychotherapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
National Provider Identifier
1245054972
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIFE IN COLOR PSYCHOTHERAPY LLC
Practice address
2136 Ford Pkwy # 9149
Saint Paul, MN 55116-2850
Phone
(952) 457-7139
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Denise Bloczynski Rodiles, MA, LMFTNPI 1265084735
Title
Therapist
Phone
(952) 457-7139

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2136 Ford Pkwy # 9149
Saint Paul, MN 55116-2850

Mailing address

2435 Virginia Cir
Roseville, MN 55113-3621
Phone (952) 457-7139

National Provider Directory

National Provider Directory

Locations

2136 Ford Pkwy
#9149
Saint Paul, MN 55116
Phone (952) 457-7139

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": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1245054972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 VIRGINIA CIR",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133621",
            "telephone_number": "952-457-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 9149",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "952-457-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN COLOR PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "RODILES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "BLOCZYNSKI",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "952-457-7139",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 11, 2024; 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.