Organization Active NPI

Life Renewal Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burnsville, MN
National Provider Identifier
1497252530
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1467 Issued in MN
Legal business name
LIFE RENEWAL COUNSELING LLC
Practice address
3000 County Road 42 W Ste 303
Burnsville, MN 55337-4827
Phone
(952) 500-9502
Fax
(952) 303-4692
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Mrs. Sheila Jean Marker, MA, LMFTNPI 1639381585
Title
Owner
Phone
(952) 500-9502

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1467 MN Primary

Addresses

Primary practice location

3000 County Road 42 W Ste 303
Burnsville, MN 55337-4827

Mailing address

3000 County Road 42 W Ste 303
Burnsville, MN 55337-4827
Phone (952) 500-9502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240216001899 MN Part B Supplier - Clinic/Group Practice 4082058193 Receives reassigned benefits from 1 practitioner
Practice locations: Burnsville, MN

National Provider Directory

National Provider Directory

Locations

3000 County Road 42 W
Ste 303
Burnsville, MN 55337
Phone (952) 226-5147

3000 County Road 42 W
Ste 210
Burnsville, MN 55337
Phone (952) 500-9502

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": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1497252530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COUNTY ROAD 42 W STE 303",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374827",
            "telephone_number": "952-500-9502",
            "fax_number": "952-303-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COUNTY ROAD 42 W STE 303",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374827",
            "telephone_number": "952-500-9502",
            "fax_number": "952-303-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RENEWAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "MARKER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-500-9502",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "1467",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 29, 2026; 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.

Verify at the official NPI Registry.