Northlight Mental Health, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

NORTHLIGHT MENTAL HEALTH, PLLC

Practice address

4047 Highway 61 N Ste 202
White Bear Lake, MN 55110-4631

Phone

(651) 237-3102

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Dustin Jensen

Title

Practice Manager

Phone

(651) 888-0651

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1740044965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 HIGHWAY 61 N STE 202",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104631",
            "telephone_number": "651-237-3102",
            "fax_number": "651-383-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 HIGHWAY 61 N STE 202",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104631",
            "telephone_number": "651-237-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLIGHT MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "651-888-0651"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jean Nordin, MD
• North Star Medical PLLC
• North Woods Christian Counseling, LLC
• Northeast Metro Intermediate School District 916
• Northeast Youth & Family Services
• William Frederic Northrup III, M.D.
• Colleen Patrice O'Brien, L.AC.
• Oakwood Dental Group, LTD
• Mark Patrick Odland, MA, LMFT, MDIV
• Megan Oertel

• Marriage & Family Therapist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.