Individual provider Active NPI

Leila Jean Erlandson, LMFT

  • Marriage & Family Therapist
  • Golden Valley, MN
National Provider Identifier
1306348024
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3647 Issued in MN
Practice address
Golden Valley Executive Center
4284 Dahlberg Drive
Golden Valley, MN 55422
Phone
(952) 428-6332
Fax
(952) 562-2840
NPI assigned
Mar 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3647 MN Primary

Addresses

Primary practice location

Golden Valley Executive Center
4284 Dahlberg Drive
Golden Valley, MN 55422

Mailing address

217 Newton Ave S
Minneapolis, MN 55405-2038
Phone (612) 702-5061

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3647MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Caspersen, LLC PastSince Apr 17, 2019 Accepting new patients
Trovarti Counseling LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1306348024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 NEWTON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052038",
            "telephone_number": "612-702-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOLDEN VALLEY EXECUTIVE CENTER",
            "address_2": "4284 DAHLBERG DRIVE",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "952-428-6332",
            "fax_number": "952-562-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLANDSON",
        "first_name": "LEILA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.