Individual provider Active NPI

Laura Nicole Gilmer, LMFT

  • Professional Counselor
  • Golden Valley, MN
National Provider Identifier
1700476314
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
8401 Wayzata Blvd Ste 340
Golden Valley, MN 55426-1365
Phone
(763) 556-0088
Fax
(763) 556-0089
NPI assigned
Jan 19, 2021
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MN Primary

Addresses

Primary practice location

8401 Wayzata Blvd Ste 340
Golden Valley, MN 55426-1365

Mailing address

8401 Wayzata Blvd Ste 340
Golden Valley, MN 55426-1365
Phone (763) 556-0088

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tkephart@newpathmhs.com

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
Christian Recovery Center CurrentSince Jan 24, 2021 Accepting new patients

Locations

8401 Wayzata Blvd
Ste 340
Minneapolis, MN 55426
Phone (763) 556-0088

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1700476314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD STE 340",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261365",
            "telephone_number": "763-556-0088",
            "fax_number": "763-556-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD STE 340",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261365",
            "telephone_number": "763-556-0088",
            "fax_number": "763-556-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMER",
        "first_name": "LAURA",
        "middle_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkephart@newpathmhs.com",
            "affiliation": "N",
            "address_1": "8401 Wayzata Blvd Ste 340",
            "city": "Golden Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554261365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.