Sheepdog Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SHEEPDOG THERAPY LLC

Practice address

1902 5TH Ave Ste 4
Anoka, MN 55303-2692

Phone

(952) 994-4272

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Nicole Zlate, LPCC, LADCNPI 1063014801

Title

Owner

Phone

(952) 994-4272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Nicole Zlate, MA, LPCC, LADC

  • Counselor
  • Anoka, MN
  • NPI 1063014801

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1831979509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 5TH AVE STE 4",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 5TH AVE STE 4",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032692",
            "telephone_number": "952-994-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEPDOG THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "ZLATE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-994-4272",
        "authorized_official_credential": "LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Shaft
• Leakaynah Lin Shaleen, PA-C
• Shalom Mental Health Services
• Paitton Rae Shaw
• Sadie Rose Shea
• Laura Sherburne, PSYD
• Emmy Jean Sherman, CCC-SLP
• John Wayne Sherven, PHARM. D.
• Jason NH Shooshtari, PHARMD
• Steven Thomas Simenson, RPH

• Mental Health Counselor in Anoka, MN
• Providers in Anoka, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.