NPIMap

Organization Active NPI

Laura Jeanne Niewald

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1831250174
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1216 Issued in MN
Legal business name
LAURA JEANNE NIEWALD
Practice address
4317 Upton Ave S
Suite C
Minneapolis, MN 55410-1539
Phone
(612) 929-1500
Fax
(612) 929-1500
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Laura Jeanne Niewald, MA, LMFTNPI 1366517443
Title
Owner
Phone
(612) 929-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 1216 MN Primary

Addresses

Primary practice location

4317 Upton Ave S
Suite C
Minneapolis, MN 55410-1539

Mailing address

4317 Upton Ave S
Suite C
Minneapolis, MN 55410-1539
Phone (612) 929-1500

Other identifiers 3

IdentifierTypeStateIssuer
80G34NIOtherMNBCBS OF MN INDIVID. #
478932600OtherMNMN HEALTH CARE PROGRAMS
80G24CLOtherMNBCBS OF MN CLINIC #

Other names 1

  • Clear Day Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

4317 Upton Ave S
Ste C
Minneapolis, MN 55410
Phone (612) 929-1500

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1831250174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 UPTON AVE S",
            "address_2": "SUITE C",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101539",
            "telephone_number": "612-929-1500",
            "fax_number": "612-929-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 UPTON AVE S",
            "address_2": "SUITE C",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101539",
            "telephone_number": "612-929-1500",
            "fax_number": "612-929-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA JEANNE NIEWALD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "NIEWALD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-929-1500",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN INDIVID. #",
            "identifier": "80G34NI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN HEALTH CARE PROGRAMS",
            "identifier": "478932600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN CLINIC #",
            "identifier": "80G24CL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Day Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2008; 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.