Organization Active NPI

New Leaf Psychotherapy and Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermantown, MN
National Provider Identifier
1760077218
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Mar 6, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.