Speak Easy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SPEAK EASY LLC

Practice address

10 NW 5TH St Ste 203
Grand Rapids, MN 55744-2660

Phone

(218) 245-5073

NPI assigned

Mar 23, 2019

Last updated

Mar 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Kay Reynolds Weidendorf, LPCCNPI 1619484862

Title

Owner

Phone

(218) 245-5073

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Weidendorf, LPCC

  • Professional Counselor
  • Knife River, MN
  • NPI 1619484862
  NPD Authorized official

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553299200000",
    "number": "1881154953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NW 5TH ST STE 203",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442660",
            "telephone_number": "218-245-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NW 5TH ST STE 203",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442660",
            "telephone_number": "218-245-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK EASY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-03-23",
        "status": "A",
        "authorized_official_last_name": "WEIDENDORF",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KAY REYNOLDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-245-5073",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1619484862",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@speakeasycounsel.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 NW 5th St Ste 203",
            "city": "Grand Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557442660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelly M Soltis, DO
• Sonder Chiropractic, P.a.
• Jay Sonder, D.C.
• Kristin Cole Sorensen-Tanenbaum, NP-C
• Daniel William Soular, MD
• James Raymond Spenningsby, MD
• Abby Sperr, OD
• St Croix Hospice LLC (St Croix Hospice)
• Lisa Deette Staber, MD
• Mary Stager, LMFT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; 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.