Individual provider Active NPI

Christy Lynne Leduc, MA, MS, LAMFT

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1508529165
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4088 Issued in MN
Practice address
600 25TH Ave S Ste 102
Saint Cloud, MN 56301-4820
Phone
(320) 406-1600
Fax
(320) 406-1700
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4088 MN Primary

Addresses

Primary practice location

600 25TH Ave S Ste 102
Saint Cloud, MN 56301-4820

Mailing address

2747 Park Dr
Saint Cloud, MN 56303-1346
Phone (320) 248-8004

Other names 1

  • Chris L Leduc Professional name

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
I20241002001763 MN Practitioner - Marriage and Family Therapist 6507397460 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Ellison Center Marriage & Family Therapist CurrentSince Sep 3, 2024 Accepting new patients

Locations

600 25th Ave S
Ste 102
Saint Cloud, MN 56301
Phone (320) 310-6365

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1508529165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 PARK DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031346",
            "telephone_number": "320-248-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 25TH AVE S STE 102",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014820",
            "telephone_number": "320-406-1600",
            "fax_number": "320-406-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDUC",
        "first_name": "CHRISTY",
        "middle_name": "LYNNE",
        "credential": "MA, MS, LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "LEDUC",
            "middle_name": "L",
            "credential": "MA, MS, LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.