Individual provider Active NPI

Danielle D Landa, LAMFT, LADC

  • Mental Health Counselor
  • Anoka, MN
National Provider Identifier
1639711005
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
646 E River Rd Ste 1
Anoka, MN 55303-1891
Phone
(763) 427-1950
Fax
(763) 427-7006
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MN Primary

Addresses

Primary practice location

646 E River Rd Ste 1
Anoka, MN 55303-1891

Mailing address

646 E River Rd Ste 1
Anoka, MN 55303-1891
Phone (763) 427-1950

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 763-427-7006 Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Counseling Services LLC PastSince Oct 20, 2019 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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1639711005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 E RIVER RD STE 1",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031891",
            "telephone_number": "763-427-1950",
            "fax_number": "763-427-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 E RIVER RD STE 1",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031891",
            "telephone_number": "763-427-1950",
            "fax_number": "763-427-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDA",
        "first_name": "DANIELLE",
        "middle_name": "D",
        "credential": "LAMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "763-427-7006",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "646 E River Rd Ste 1",
            "city": "Anoka",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553031891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.