Individual provider Active NPI

Emily De Leon, MA, LMFT

  • Marriage & Family Therapist
  • Apple Valley, MN
National Provider Identifier
1609274281
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2645 Issued in MN
Practice address
7600 143Rd St W Ste 300
Apple Valley, MN 55124-5529
Phone
(952) 356-5632
NPI assigned
Dec 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 2645 MN Primary

Addresses

Primary practice location

7600 143Rd St W Ste 300
Apple Valley, MN 55124-5529

Mailing address

7273 Kittredge Cir
Otsego, MN 55301-4725
Phone (952) 356-5632

Other practice location 1

8421 Wayzata Blvd Ste 250
Golden Valley, MN 55426-1382
Phone (952) 835-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Por, LLC PastSince Feb 15, 2012 Accepting new patients

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": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609274281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7273 KITTREDGE CIR",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553014725",
            "telephone_number": "952-356-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 143RD ST W STE 300",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245529",
            "telephone_number": "952-356-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8421 Wayzata Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554261382",
            "country_code": "US",
            "telephone_number": "952-835-6540",
            "fax_number": "952-835-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "EMILY",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.