Active NPI
Heartland Counseling, LLC
- Marriage & Family Therapist
- Burnsville, MN
National Provider Identifier
1467999136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1251
- Legal business name
- HEARTLAND COUNSELING, LLC
- Practice address
- 11990 Portland Ave
Burnsville, MN 55337-1516 - Phone
- (952) 736-8393
- Fax
- (952) 479-7896
- NPI assigned
- Jan 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Joyce Petersen, LMFT
- Title
- Owner
- Phone
- (612) 636-1107
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1251 | MN | Primary |
Addresses
Primary practice location
11990 Portland Ave
Burnsville, MN 55337-1516
Mailing address
11990 Portland Ave
Burnsville, MN 55337-1516
Phone (952) 736-8393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275593949 | Other | MN | INDIVIDUAL NPI NUMBER |
| 1467999136 | Other | MN | MARRIAGE & FAMILY THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
190 S River Ridge Cir
Ste 209
Burnsville, MN 55337
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Burnsville, MN
- NPI 1275593949
-
- Marriage & Family Therapist
- Brooklyn Park, MN
- NPI 1710267141
-
- Marriage & Family Therapist
- Lakeville, MN
- NPI 1104457530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1467999136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11990 PORTLAND AVE",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553371516",
"telephone_number": "952-736-8393",
"fax_number": "952-479-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11990 PORTLAND AVE",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553371516",
"telephone_number": "952-736-8393",
"fax_number": "952-479-7896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-19",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "PETERSEN",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-636-1107",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1275593949",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARRIAGE & FAMILY THERAPIST",
"identifier": "1467999136",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.