Organization Active NPI

Kirsten Schoenleber, LLC

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1629155213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP 0781 Issued in MN
Legal business name
KIRSTEN SCHOENLEBER, LLC
Practice address
821 Raymond Ave Ste 200
Saint Paul, MN 55114-1509
Phone
(651) 645-8300
Fax
(651) 645-4603
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kirsten L Schoenleber, PH.D.NPI 1962466342
Title
Owner
Phone
(651) 645-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP 0781 MN Primary

Addresses

Primary practice location

821 Raymond Ave Ste 200
Saint Paul, MN 55114-1509

Mailing address

821 Raymond Ave Ste 200
Saint Paul, MN 55114-1509
Phone (651) 645-8300

Other identifiers 4

IdentifierTypeStateIssuer
6139439OtherMNUNITED BEHAVIORAL HEALTH
301K9SCOtherMNBCBS
917271013577OtherMNBEHAVIORAL HEALTHCARE PRO
102654OtherMNHEALTHPARTNERS

National Provider Directory

National Provider Directory

Locations

821 Raymond Ave
Ste 200
Saint Paul, MN 55114
Phone (651) 216-8899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629155213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141509",
            "telephone_number": "651-645-8300",
            "fax_number": "651-645-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141509",
            "telephone_number": "651-645-8300",
            "fax_number": "651-645-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSTEN SCHOENLEBER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOENLEBER",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-645-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 0781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6139439",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "301K9SC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTHCARE PRO",
            "identifier": "917271013577",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "102654",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.