Individual provider Active NPI

Barbara Joanne Hilleren, MA, LP

  • Psychologist
  • Wayzata, MN
National Provider Identifier
1255452991
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5195 Issued in MN
Practice address
600 Twelve Oaks Center Dr
Suite 220
Wayzata, MN 55391-4501
Phone
(952) 212-6570
Fax
(952) 657-7818
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X LP5195 MN Primary

Addresses

Primary practice location

600 Twelve Oaks Center Dr
Suite 220
Wayzata, MN 55391-4501

Mailing address

600 Twelve Oaks Center Dr
Suite 220
Wayzata, MN 55391-4501
Phone (952) 212-6570

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1255452991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR",
            "address_2": "SUITE 220",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914501",
            "telephone_number": "952-212-6570",
            "fax_number": "952-657-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR",
            "address_2": "SUITE 220",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914501",
            "telephone_number": "952-212-6570",
            "fax_number": "952-657-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEREN",
        "first_name": "BARBARA",
        "middle_name": "JOANNE",
        "credential": "MA, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.