Organization Active NPI

Nalu Therapy, LLC.

  • Professional Counselor
  • Wyoming, MN
National Provider Identifier
1720828387
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NALU THERAPY, LLC.
Practice address
315 Lakeshore Dr
Wyoming, MN 55092-9748
Phone
(612) 234-2605
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Jessica Szmanda, MA, LPCC, LADCNPI 1821780594
Title
Owner and Therapist
Phone
(612) 201-2591

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

315 Lakeshore Dr
Wyoming, MN 55092-9748

Mailing address

315 Lakeshore Dr
Wyoming, MN 55092-9748
Phone (612) 234-2605

National Provider Directory

National Provider Directory

Locations

17565 Central Ave NE
Ste 200
Ham Lake, MN 55304
Phone (612) 567-3599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1720828387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 LAKESHORE DR",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550929748",
            "telephone_number": "612-234-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LAKESHORE DR",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550929748",
            "telephone_number": "612-234-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NALU THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "SZMANDA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "612-201-2591",
        "authorized_official_credential": "MA, LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.