Active NPI
Lavethe Roaitia Liggins
- Counselor
- Minneapolis, MN
National Provider Identifier
1679847156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2616 Nicollet Ave South
Minneapolis, MN 55404-0900 - Phone
- (612) 871-7878
- Fax
- (612) 871-2567
- NPI assigned
- Mar 1, 2012
- Last updated
- Mar 1, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2616 Nicollet Ave South
Minneapolis, MN 55404-0900
Mailing address
5625 Boone Ave N. #108
New Hope, MN 55428
Phone (612) 238-2360
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1679847156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5625 BOONE AVE N. #108",
"city": "NEW HOPE",
"state": "MN",
"postal_code": "55428",
"telephone_number": "612-238-2360",
"fax_number": "612-871-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 NICOLLET AVE SOUTH",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554040900",
"telephone_number": "612-871-7878",
"fax_number": "612-871-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGGINS",
"first_name": "LAVETHE",
"middle_name": "ROAITIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.