Laurel Lynn Hiller, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1961 Issued in MN

Practice address

11468 Marketplace Dr N Ste 6001083
Champlin, MN 55316-3872

Phone

(763) 310-1352

NPI assigned

Nov 13, 2018

Last updated

Jun 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laurel Hiller LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Champlin, MN
  • NPI 1952005407
  NPD Authorized official

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1881163426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11468 MARKETPLACE DR N STE 6001083",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163872",
            "telephone_number": "763-310-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11468 MARKETPLACE DR N STE 6001083",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163872",
            "telephone_number": "763-310-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLER",
        "first_name": "LAUREL",
        "middle_name": "LYNN",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2023-06-20",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "231284",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "645618",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Holistically Home Health Care LLC (HealingHolistically Home Health LLC)
• Kyle Henderson
• Amy Sue Hentges, M.D.
• Kayla Lee Hernandez
• Jayson Douglas Hicks, PA
• Jenna L Hinrichs, RN
• Madison Hirn, DDS
• Docia Ann Hogan, DDS
• Byron C Holth, MD
• Hopegrows Behavioral Health

• Mental Health Counselor in Champlin, MN
• Providers in Champlin, 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 Jun 20, 2023; 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.