Sheila Conlin Ma, LP LMFT

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

SHEILA CONLIN MA, LP LMFT

Practice address

521 Tanglewood Dr
Shoreview, MN 55126-2016

Phone

(651) 303-9003

Fax

(651) 766-9046

NPI assigned

Jun 15, 2016

Organization subpart

No

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

Authorized official

Name

Sheila Conlin, MA, LP, LMFT

Title

Owner

Phone

(651) 303-9003

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1730539305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 TANGLEWOOD DR",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262016",
            "telephone_number": "651-303-9003",
            "fax_number": "651-766-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 TANGLEWOOD DR",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262016",
            "telephone_number": "651-303-9003",
            "fax_number": "651-766-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA CONLIN MA, LP LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "CONLIN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-303-9003",
        "authorized_official_credential": "MA, LP, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119935000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.