Individual provider Active NPI

Mo Valerie Paylen, LICSW

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1508490558
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
24411 Issued in MN
Practice address
8012 Upper 145TH St W
Saint Paul, MN 55124-7448
Phone
(612) 239-7612
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 24411 MN
Professional Counselor 101YP2500X 24411 MN Primary

Addresses

Primary practice location

8012 Upper 145TH St W
Saint Paul, MN 55124-7448

Mailing address

45 10TH St W
Saint Paul, MN 55102-1053
Phone (651) 232-3584

Other practice location 1

45 10th St W
Saint Paul, MN 55102-1053
Phone (651) 232-3584

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
I20220628003168 MN Practitioner - Clinical Social Worker 3577942168 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24411MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Insititue CurrentSince May 1, 2022 Accepting new patients
Range Regional Health Services Current Accepting new patients
Fairview Express Care CurrentSince May 1, 2022 Accepting new patients
Fairview Health Services CurrentSince May 1, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services CurrentSince May 1, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care CurrentSince May 1, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 1, 2022 Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Newday Therapeutic Services LLC CurrentSince Jan 5, 2025 Accepting new patients

Locations

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1508490558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 10TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021053",
            "telephone_number": "651-232-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 UPPER 145TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551247448",
            "telephone_number": "612-239-7612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 10th St W",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551021053",
            "country_code": "US",
            "telephone_number": "651-232-3584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYLEN",
        "first_name": "MO",
        "middle_name": "VALERIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "24411",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "24411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.