Individual provider Active NPI

Gayle Linda Neuerburg, MS, LMFT

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1366878381
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2443 Issued in MN
Practice address
1521 Northway Dr Ste 110
Saint Cloud, MN 56303-1274
Phone
(218) 721-2982
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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 2443 MN Primary

Addresses

Primary practice location

1521 Northway Dr Ste 110
Saint Cloud, MN 56303-1274

Mailing address

1736 Lucille LN
Saint Cloud, MN 56303-0432
Phone (218) 721-2982

Other practice location 1

600 25th Ave S Ste 109
Saint Cloud, MN 56301-4820
Phone (320) 255-0343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2443MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gayle Neuerburg LLC Marriage & Family Therapist CurrentSince Jan 15, 2023 Accepting new patients

Locations

1521 Northway Dr
Ste 110
Saint Cloud, MN 56303
Phone (320) 240-0300

600 25th Ave S
Ste 109
Saint Cloud, MN 56301
Phone (320) 255-0343

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684022400000",
    "number": "1366878381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 LUCILLE LN",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563030432",
            "telephone_number": "218-721-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 NORTHWAY DR STE 110",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031274",
            "telephone_number": "218-721-2982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 25th Ave S Ste 109",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563014820",
            "country_code": "US",
            "telephone_number": "320-255-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUERBURG",
        "first_name": "GAYLE",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2023-05-14",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.