Cedar Rose Lundgren, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2419 Issued in MN

Practice address

1611 County Road B W Ste 204
Roseville, MN 55113-4053

Phone

(651) 340-4597

Fax

(651) 493-1105

NPI assigned

Jul 16, 2020

Last updated

Jul 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Deeper Bond, PLLC

  • Mental Health Counselor
  • Duluth, MN
  • NPI 1174374607
  NPD Authorized official
• MN Couple Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseville, MN
  • NPI 1770912271
  NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1750999629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E 1ST ST APT 1",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121715",
            "telephone_number": "218-590-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 204",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134053",
            "telephone_number": "651-340-4597",
            "fax_number": "651-493-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "CEDAR",
        "middle_name": "ROSE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taiga Krona Lucas
• Christopher William Luhman, MD
• Lumera Health Services LLC
• Luminous Mind Inc (The Luminous Mind)
• Kathleen T. Lundell, M.D.
• Hope Luparell, DDS
• Lee Robert Lutterman, DDS
• Sandi Lutz
• Lux Psychiatry PLLC (Lux Psychiatry)
• Luxottica of America Inc. (Lenscrafters #041)

• Mental Health Counselor in Roseville, MN
• Providers in Roseville, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.