Active NPI
Mustard Seed Counseling, LLC
Doing business as Light on Water Counseling
- Marriage & Family Therapist
- Plymouth, MN
National Provider Identifier
1477230241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- MUSTARD SEED COUNSELING, LLC
- Doing business as
- Light on Water Counseling
- Practice address
- 3131 Fernbrook LN N Ste 102
Plymouth, MN 55447-5336 - Phone
- (612) 840-0396
- NPI assigned
- Jul 3, 2023
- 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
- Victoria Elliott, MA, LMFT
- Title
- Owner
- Phone
- (612) 840-0396
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 | Primary |
Addresses
Primary practice location
3131 Fernbrook LN N Ste 102
Plymouth, MN 55447-5336
Mailing address
3131 Fernbrook LN N Ste 102
Plymouth, MN 55447-5336
Other names 1
- Light on Water Counseling
National Provider Directory
National Provider DirectoryLocations
3131 Fernbrook Ln N
Ste 102
Plymouth, MN 55447
Phone (612) 839-7975
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Plymouth, MN
- NPI 1174750871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688342400000",
"number": "1477230241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 FERNBROOK LN N STE 102",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 FERNBROOK LN N STE 102",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475336",
"telephone_number": "612-840-0396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSTARD SEED COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-840-0396",
"authorized_official_credential": "MA, LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Light on Water Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.