Individual provider Active NPI

Payton Christine Le, LMFT

  • Marriage & Family Therapist
  • Lino Lakes, MN
National Provider Identifier
1548067820
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4643 Issued in MN
Practice address
6776 Lake Dr Ste 170
Lino Lakes, MN 55014-1201
Phone
(763) 291-5505
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 4643 MN Primary

Addresses

Primary practice location

6776 Lake Dr Ste 170
Lino Lakes, MN 55014-1201

Mailing address

6776 Lake Dr Ste 170
Lino Lakes, MN 55014-1201
Phone (763) 291-5505

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
I20260220001493 MN Practitioner - Marriage and Family Therapist 6204317993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridging Hope Counseling Services LLCGroup PAC ID 8527560234, 8 clinicians

Practice addresses (Care Compare)

6776 Lake Dr
Suite 170
Lino Lakes, MN 55014-1201
Phone (763) 291-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4643MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridging Hope Counseling Services LLC CurrentSince Jan 15, 2026 Accepting new patients
Brunetti Consulting, Inc Past Accepting new patients

Locations

6776 Lake Dr
Ste 170
Lino Lakes, MN 55014
Phone (651) 440-1561

21000 Rogers Dr
Ste 100
Rogers, MN 55374
Phone (763) 291-5505

Organizations & group practices 2

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": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1548067820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR STE 170",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141201",
            "telephone_number": "763-291-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR STE 170",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141201",
            "telephone_number": "763-291-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "PAYTON",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lino Lakes, MN

Sources for this page

Verify at the official NPI Registry.