NPIMap

Organization Active NPI

Fishbone LLC

Doing business as New Leaf Counseling

  • Professional Counselor
  • Shoreview, MN
National Provider Identifier
1730557521
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C00880 Issued in MN
Legal business name
FISHBONE LLC
Doing business as
New Leaf Counseling
Practice address
4700 Lexington Ave N
Suite C
Shoreview, MN 55126-5867
Phone
(763) 220-2213
NPI assigned
Sep 10, 2015
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Andrea Veech, LPCC
Title
Owner
Phone
(763) 220-2213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C00880 MN Primary

Addresses

Primary practice location

4700 Lexington Ave N
Suite C
Shoreview, MN 55126-5867

Mailing address

6975 Meadow CT
Centerville, MN 55038-8784
Phone (763) 220-2213

Other names 1

  • New Leaf Counseling Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1730557521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 MEADOW CT",
            "city": "CENTERVILLE",
            "state": "MN",
            "postal_code": "550388784",
            "telephone_number": "763-220-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LEXINGTON AVE N",
            "address_2": "SUITE C",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265867",
            "telephone_number": "763-220-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHBONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "VEECH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-220-2213",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "C00880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.