Yellow Wallpaper Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

YELLOW WALLPAPER THERAPY LLC

Practice address

7699 Morgan Ave N
Minneapolis, MN 55444-2427

Phone

(763) 439-4984

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Elizabeth Douglas, MA, LADC, LPCCNPI 1336439306

Title

Mental Health Therapist / Owner

Phone

(763) 439-4984

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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.

• Elizabeth A Douglas, MA, LADC, LPCC

  • Mental Health Counselor
  • Coon Rapids, MN
  • NPI 1336439306

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1376315549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7699 MORGAN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554442427",
            "telephone_number": "763-439-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7699 MORGAN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554442427",
            "telephone_number": "763-439-4984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Lagoon Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554085004",
            "country_code": "US",
            "telephone_number": "763-439-4984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YELLOW WALLPAPER THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST / OWNER",
        "authorized_official_telephone_number": "763-439-4984",
        "authorized_official_credential": "MA, LADC, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Yee, M.D.
• Anudeep Yekula, MBBS
• Yana Yelagin
• Yellow Coriander PSC
• Yellow Coriander, PSC
• Daniel Conrad Yenter
• Brad Patrick Yentzer, RD
• Mohammednur Kemer Yesuf, PHARMD, MPH
• Zyida I Yesuf, LICSW
• Sheena Lynn Yetter

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.