Organization Active NPI

Village Support Therapy and Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Brighton, MN
National Provider Identifier
1356964332
Registry record updated Aug 12, 2026
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
VILLAGE SUPPORT THERAPY AND CONSULTING LLC
Practice address
151 Silver Lake Rd NW Unit 209
New Brighton, MN 55112-8108
Phone
(612) 255-7545
NPI assigned
May 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Ebony Eromobor, LICSWNPI 1962036145
Title
Owner
Phone
(612) 255-7545

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

151 Silver Lake Rd NW Unit 209
New Brighton, MN 55112-8108

Mailing address

151 Silver Lake Rd NW Unit 209
New Brighton, MN 55112-8108
Phone (612) 255-7545

National Provider Directory

National Provider Directory

Locations

7308 Aspen Ln N
Ste 132
Brooklyn Park, MN 55428
Phone (763) 270-4847

151 Silver Lake Rd NW
Unit 209
New Brighton, MN 55112

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": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1356964332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SILVER LAKE RD NW UNIT 209",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128108",
            "telephone_number": "612-255-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SILVER LAKE RD NW UNIT 209",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128108",
            "telephone_number": "612-255-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SUPPORT THERAPY AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "EROMOBOR",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-255-7545",
        "authorized_official_credential": "LICSW"
    },
    "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 New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.