Shelly Lynn Hallberg, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1875 Issued in MN

Practice address

501 Highway 13 E
Suite 108
Burnsville, MN 55337-2884

Phone

(952) 564-3000

Fax

(952) 564-3031

NPI assigned

Jan 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midwest Recovery, Inc

  • Substance Abuse Rehabilitation Facility
  • Bloomington, MN
  • NPI 1801268354
  Medicare reassignment NPD
• Community Drug & Alcohol Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Burnsville, MN
  • NPI 1528145638
  NPD (past)
• Community Drug & Alcohol Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burnsville, MN
  • NPI 1548341688
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1477857233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HIGHWAY 13 E",
            "address_2": "SUITE 108",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372884",
            "telephone_number": "952-564-3000",
            "fax_number": "952-564-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HIGHWAY 13 E",
            "address_2": "SUITE 108",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372884",
            "telephone_number": "952-564-3000",
            "fax_number": "952-564-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLBERG",
        "first_name": "SHELLY",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamun Hakar
• Jawahir Halane
• Jaeson Hall
• Spencer M Hall
• Alison Hallaway
• Casey James Hallin, D.C.
• Christine Halverson, MA, OTR/L
• Amy Kathryn Hamilton, PTA
• Xu Benjamin Han
• Kristen Chase Hancock, ARNP

• Marriage & Family Therapist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.