Active NPI
Leslie Ann Moran, LMFT
- Marriage & Family Therapist
- Apple Valley, MN
National Provider Identifier
1639440738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2260
- Practice address
- 15050 Cedar Ave. South
#266
Apple Valley, MN 55124 - Phone
- (612) 270-9832
- NPI assigned
- Jan 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2260 | MN | Primary |
Addresses
Primary practice location
15050 Cedar Ave. South
#266
Apple Valley, MN 55124
Mailing address
15050 Cedar Ave. South
#266
Apple Valley, MN 55124
Phone (612) 270-9832
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2260 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1639440738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15050 CEDAR AVE. SOUTH",
"address_2": "#266",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "55124",
"telephone_number": "612-270-9832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15050 CEDAR AVE. SOUTH",
"address_2": "#266",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "55124",
"telephone_number": "612-270-9832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "LESLIE",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2260",
"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 Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.