Organization Active NPI

Mustard Seed Counseling, LLC

Doing business as Light on Water Counseling

  • Marriage & Family Therapist
  • Plymouth, MN
National Provider Identifier
1477230241
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Victoria Elliott, MA, LMFTNPI 1174750871
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.