Individual provider Active NPI

Laura Janelle McDermott, PMHNP-BC, CNP, LMFT

  • Psychiatric/Mental Health Nurse Practitioner
  • Eden Prairie, MN
National Provider Identifier
1801091749
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12047 Issued in MN
Practice address
6452 City West Pkwy
Eden Prairie, MN 55344-3245
Phone
(952) 999-0333
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001175 CT
Marriage & Family Therapist 106H00000X 2619 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12047 MN Primary

Addresses

Primary practice location

6452 City West Pkwy
Eden Prairie, MN 55344-3245

Mailing address

5624 Lincoln Dr Ste 295
Edina, MN 55436-1606
Phone (612) 987-8022

Other practice location 1

5624 Lincoln Dr
Minneapolis, MN 55436-1606
Phone (952) 395-3322

Other practice location 2

7300 Metro Blvd Ste 400
Edina, MN 55439-2307
Phone (612) 425-0090

Other names 1

  • Miss Laura Janelle Chaney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214002411 MN Practitioner - Nurse Practitioner 0446780753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Columbia School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Kingdom Pediatrics LLCGroup PAC ID 7315266806, 19 clinicians

Practice addresses (Care Compare)

6452 City W Pkwy
Eden Prairie, MN 55344-3245
Phone (952) 999-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
001175CTMDAdult Health Nurse Practitioner
12047MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ausome Development Center Inc CurrentSince Jan 22, 2023 Accepting new patients
New Kingdom Pediatrics LLC CurrentSince Dec 30, 2024 Accepting new patients
Center for Collaborative Health PLLC PastSince May 1, 2022 Accepting new patients

Locations

6452 City West Pkwy
Eden Prairie, MN 55344
Phone (952) 999-0333

5624 Lincoln Dr
Ste 295
Edina, MN 55436
Phone (612) 987-8022

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1801091749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 LINCOLN DR STE 295",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361606",
            "telephone_number": "612-987-8022",
            "fax_number": "612-465-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6452 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443245",
            "telephone_number": "952-999-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5624 Lincoln Dr",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554361606",
            "country_code": "US",
            "telephone_number": "952-395-3322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 Metro Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554392307",
            "country_code": "US",
            "telephone_number": "612-425-0090",
            "fax_number": "612-425-1580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "LAURA",
        "middle_name": "JANELLE",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC, CNP, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001175",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2619",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CHANEY",
            "middle_name": "JANELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.