Active NPI
Shequitta Shanta Lenoir, LMFT
- Marriage & Family Therapist
- Brooklyn Center, MN
National Provider Identifier
1417512765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3452
- Practice address
- 6120 Earle Brown Dr Ste 100
Brooklyn Center, MN 55430-4100 - Phone
- (763) 277-1020
- Fax
- (763) 537-7162
- NPI assigned
- May 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 203395 | TX | |
| Marriage & Family Therapist | 106H00000X | 3452 | MN | Primary |
Addresses
Primary practice location
6120 Earle Brown Dr Ste 100
Brooklyn Center, MN 55430-4100
Mailing address
6120 Earle Brown Dr Ste 100
Brooklyn Center, MN 55430-4100
Phone (763) 277-1020
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
| License | State | Type | Specialty |
|---|---|---|---|
| 203395 | TX | MD | Marriage & Family Therapist |
| 3452 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1417512765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 EARLE BROWN DR STE 100",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554304100",
"telephone_number": "763-277-1020",
"fax_number": "763-537-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 EARLE BROWN DR STE 100",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554304100",
"telephone_number": "763-277-1020",
"fax_number": "763-537-7162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENOIR",
"first_name": "SHEQUITTA",
"middle_name": "SHANTA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203395",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.