Active NPI
New Leaf Psychotherapy and Consulting
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hermantown, MN
National Provider Identifier
1760077218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NEW LEAF PSYCHOTHERAPY AND CONSULTING
- Practice address
- 4899 Miller Trunk Hwy Ste 210
Hermantown, MN 55811-1582 - Phone
- (218) 348-2482
- NPI assigned
- Mar 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria Sundell, MSW, LICSW
- Title
- Owner
- Phone
- (218) 348-2482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4899 Miller Trunk Hwy Ste 210
Hermantown, MN 55811-1582
Mailing address
5063 Lockwood LN
Duluth, MN 55803-9714
Phone (218) 348-2482
Other names 1
- New Leaf Counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hermantown, MN
- NPI 1083700504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614988800000",
"number": "1760077218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5063 LOCKWOOD LN",
"city": "DULUTH",
"state": "MN",
"postal_code": "558039714",
"telephone_number": "218-348-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4899 MILLER TRUNK HWY STE 210",
"city": "HERMANTOWN",
"state": "MN",
"postal_code": "558111582",
"telephone_number": "218-348-2482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LEAF PSYCHOTHERAPY AND CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-06",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A",
"authorized_official_last_name": "SUNDELL",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-348-2482",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Leaf Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hermantown, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.