Bella Violet Therapy and Consulting

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BELLA VIOLET THERAPY AND CONSULTING

Practice address

1629 W Main St
Albert Lea, MN 56007-1868

Phone

(763) 244-5812

NPI assigned

Apr 25, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Sara Marie Burke, LPCCNPI 1679079438

Title

Owner

Phone

(763) 244-5812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Marie Burke, LPCC

  • Professional Counselor
  • Saint Paul, MN
  • NPI 1679079438
  Medicare reassignment NPD Authorized official
• Alison A Sorensen, D.C.

  • Chiropractor
  • Albert Lea, MN
  • NPI 1801068549
  NPD

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1588410070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 LAKEVIEW BLVD",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560074427",
            "telephone_number": "763-244-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 W MAIN ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560071868",
            "telephone_number": "763-244-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VIOLET THERAPY AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-244-5812",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Banta
• Ariel Barkeim, ND
• Lowell Wherry Barr, MD
• Kristin Bauman, PHARMD
• Brittney Baxter Dameron, LICSW, LISW
• Allison Berniece Berg Heinemann
• Elizabeth Jordan Berg, D.C
• Jill E Berg, L.AC.
• Melissa Johnson Bertelson, NP-C
• Joni Bidne, COTA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.