Individual provider Active NPI

Justina Maureen Lein, M.A., LAMFT

  • Student in an Organized Health Care Education/Training Program
  • Minneapolis, MN
National Provider Identifier
1780074989
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
3116 Issued in MN
Practice address
227 Colfax Ave N
Minneapolis, MN 55405-1402
Phone
(612) 668-2720
Fax
(612) 668-2730
NPI assigned
Jan 27, 2015
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 3116 MN Primary

Addresses

Primary practice location

227 Colfax Ave N
Minneapolis, MN 55405-1402

Mailing address

227 Colfax Ave N
Minneapolis, MN 55405-1402
Phone (612) 668-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3116MNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1780074989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 COLFAX AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051402",
            "telephone_number": "612-668-2720",
            "fax_number": "612-668-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 COLFAX AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051402",
            "telephone_number": "612-668-2720",
            "fax_number": "612-668-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIN",
        "first_name": "JUSTINA",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "M.A., LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": "3116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.