Individual provider Active NPI

Natalee E Yeazle Iliff, LPCC

  • Professional Counselor
  • Elk River, MN
National Provider Identifier
1477195519
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2241 Issued in MN
Practice address
530 3Rd St NW
Elk River, MN 55330-1445
Phone
(763) 587-4800
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2241 MN Primary

Addresses

Primary practice location

530 3Rd St NW
Elk River, MN 55330-1445

Mailing address

14034 Jacylyn Dr
Rogers, MN 55374-7508
Phone (763) 957-9165

Other practice location 1

2621 Greenhaven Rd
Anoka, MN 55303-5566
Phone (763) 587-4600

Other practice location 2

7954 University Ave NE
Fridley, MN 55432-1860
Phone (612) 706-1273

Other practice location 3

15245 Bluebird St NW
Andover, MN 55304-3538
Phone (763) 587-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826000956 MN Practitioner - Mental Health Counselor 6305385147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

530 3Rd St NW
Elk River, MN 55330-1445
Phone (763) 712-6000

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Oct 4, 2024 Accepting new patients
Group Health, Inc. Current Accepting new patients
Group Health, Inc. CurrentSince Oct 4, 2024 Accepting new patients

Locations

2621 Greenhaven Rd
Anoka, MN 55303
Phone (763) 587-4400

15245 Bluebird St NW
Anoka, MN 55304
Phone (763) 587-4600

530 3rd St NW
Elk River, MN 55330
Phone (763) 587-4800

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

Organizations & group practices 3

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1477195519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14034 JACYLYN DR",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553747508",
            "telephone_number": "763-957-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 3RD ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301445",
            "telephone_number": "763-587-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2621 Greenhaven Rd",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "553035566",
            "country_code": "US",
            "telephone_number": "763-587-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7954 University Ave NE",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554321860",
            "country_code": "US",
            "telephone_number": "612-706-1273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15245 Bluebird St NW",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MN",
            "postal_code": "553043538",
            "country_code": "US",
            "telephone_number": "763-587-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEAZLE ILIFF",
        "first_name": "NATALEE",
        "middle_name": "E",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

Verify at the official NPI Registry.