NPIMap

Organization Active NPI

Cedar Hill Therapy, LLC

  • Psychologist
  • St Louis Park, MN
National Provider Identifier
1255712238
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CEDAR HILL THERAPY, LLC
Practice address
4500 Park Glen Rd Ste 155
St Louis Park, MN 55416-4888
Phone
(612) 284-4291
NPI assigned
Jun 15, 2015
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Bettina StuecherNPI 1790678241
Title
Owner
Phone
(651) 235-6483

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Professional Counselor 101YP2500X
Psychologist 103T00000X Primary
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X
Nutritionist 133N00000X

Addresses

Primary practice location

4500 Park Glen Rd Ste 155
St Louis Park, MN 55416-4888

Mailing address

4500 Park Glen Rd Ste 155
St Louis Park, MN 55416-4888
Phone (612) 284-4291

National Provider Directory

National Provider Directory

Locations

6750 France Ave S
Ste 200
Edina, MN 55435
Phone (612) 486-2058

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1255712238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD STE 155",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164888",
            "telephone_number": "612-284-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD STE 155",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164888",
            "telephone_number": "612-284-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "STUECHER",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-235-6483"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.