Individual provider Active NPI

Linh Le Mai Nguyen de Castro, DNP, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maplewood, MN
National Provider Identifier
1851145346
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11514 Issued in MN
Practice address
2103 County Road D E Ste B
Maplewood, MN 55109-5358
Phone
(612) 915-0049
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2482966 MN
Registered Nurse 163W00000X 160483 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11514 MN Primary

Addresses

Primary practice location

2103 County Road D E Ste B
Maplewood, MN 55109-5358

Mailing address

360 Sherman St Ste 390
Saint Paul, MN 55102-3865
Phone (651) 383-4800

Other practice location 1

360 Sherman St Ste 390
Saint Paul, MN 55102-3865
Phone (651) 383-4800

Other names 1

  • Linh Le Mai Nguyen 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
I20240613004015 MN Practitioner - Nurse Practitioner 3971046327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

360 Sherman St
Suite 390
Saint Paul, MN 55102-2564
Phone (651) 748-5019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
160483IAMDRegistered Nurse
2482966MNMDRegistered Nurse
11514MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. Psychiatric/Mental Health CurrentSince Aug 4, 2025 Accepting new patients
Huffman Institute Inc Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
West Central Counseling LLC PastSince Jun 6, 2021 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

2103 County Road D E
Ste B
Saint Paul, MN 55109
Phone (651) 383-4800

752 Grand Ave
Ste 1
Saint Paul, MN 55105
Phone (651) 447-7071

360 Sherman St
Ste 390
Saint Paul, MN 55102
Phone (651) 383-4800

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.linhmainguyendecastro@149810.advancedmd-direct.com

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": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1851145346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST STE 390",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023865",
            "telephone_number": "651-383-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 COUNTY ROAD D E STE B",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095358",
            "telephone_number": "612-915-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Sherman St Ste 390",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551023865",
            "country_code": "US",
            "telephone_number": "651-383-4800",
            "fax_number": "651-689-8288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN DE CASTRO",
        "first_name": "LINH",
        "middle_name": "LE MAI",
        "credential": "DNP, ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2482966",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "160483",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINH",
            "last_name": "NGUYEN",
            "middle_name": "LE MAI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.