Active NPI
Rebecca Lea Molstad Sheldon, MA, LPCC
- Professional Counselor
- Fridley, MN
National Provider Identifier
1861711319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 00283
- Practice address
- 480 Osborne Rd NE Ste 260
Fridley, MN 55432-2866 - Phone
- (763) 236-3800
- Fax
- (763) 236-3821
- NPI assigned
- May 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 00283 | MN | Primary |
Addresses
Primary practice location
480 Osborne Rd NE Ste 260
Fridley, MN 55432-2866
Mailing address
2450 Riverside Ave
Unit 4B West
Minneapolis, MN 55454-1450
Phone (612) 273-6055
Other practice location 1
2450 Riverside Ave
Unit 4B West
Minneapolis, MN 55454-1450
Phone (612) 273-6055
Other practice location 2
520 Osborne Rd NE Ste 210
Fridley, MN 55432-2718
Phone (763) 236-3800
Other names 1
- Rebecca Lea Molstad
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bsheldon657080@excellian.direct.allina.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00283 | MN | MD | Professional Counselor |
Interoperability endpoints
- bsheldon657080@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1861711319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE",
"address_2": "UNIT 4B WEST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-273-6055",
"fax_number": "612-273-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 OSBORNE RD NE STE 260",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554322866",
"telephone_number": "763-236-3800",
"fax_number": "763-236-3821"
}
],
"practiceLocations": [
{
"address_1": "2450 Riverside Ave",
"address_2": "Unit 4B West",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541450",
"country_code": "US",
"telephone_number": "612-273-6055",
"fax_number": "612-273-5815",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 Osborne Rd NE Ste 210",
"address_purpose": "LOCATION",
"city": "Fridley",
"state": "MN",
"postal_code": "554322718",
"country_code": "US",
"telephone_number": "763-236-3800",
"fax_number": "763-236-3821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELDON",
"first_name": "REBECCA",
"middle_name": "LEA MOLSTAD",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "00283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bsheldon657080@excellian.direct.allina.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "520 Osborne Rd NE Ste 210",
"city": "Fridley",
"state": "MN",
"country_code": "US",
"postal_code": "554322718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "MOLSTAD",
"middle_name": "LEA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.