Active NPI
Leah Fargo, BA
- Art Therapist
- Saint Paul, MN
National Provider Identifier
1316720501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 275 4TH St E Ste 301
Saint Paul, MN 55101-1771 - Phone
- (651) 318-0109
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary |
Addresses
Primary practice location
275 4TH St E Ste 301
Saint Paul, MN 55101-1771
Mailing address
3418 44TH Ave S
Minneapolis, MN 55406-2902
Phone (612) 770-3250
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art of Counseling, PLLC | Art Therapist | Current | Accepting new patients |
Locations
275 4th St E
Ste 301
Saint Paul, MN 55101
Phone (651) 318-0109
Organizations & group practices 1
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": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1316720501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3418 44TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554062902",
"telephone_number": "612-770-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 4TH ST E STE 301",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011771",
"telephone_number": "651-318-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARGO",
"first_name": "LEAH",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"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 Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.