Active NPI
Anita Louise Stuart, L.P.C. L.A.D.C
- Professional Counselor
- Eagan, MN
National Provider Identifier
1902079387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC00288
- Practice address
- 3450 Oleary LN
Eagan, MN 55123-2340 - Phone
- (651) 454-0114
- NPI assigned
- Apr 8, 2008
- Last updated
- Apr 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ADC300947 | MN | |
| Professional Counselor | 101YP2500X | LPC00288 | MN | Primary |
Addresses
Primary practice location
3450 Oleary LN
Eagan, MN 55123-2340
Mailing address
2830 36TH Ave S
Minneapolis, MN 55406-1714
Phone (612) 728-8923
Other names 1
- Ms. Anita Louise Stuart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ADC300947 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| LPC00288 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1902079387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 36TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061714",
"telephone_number": "612-728-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 OLEARY LN",
"city": "EAGAN",
"state": "MN",
"postal_code": "551232340",
"telephone_number": "651-454-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "ANITA",
"middle_name": "LOUISE",
"credential": "L.P.C. L.A.D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "ADC300947",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "LPC00288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "STUART",
"middle_name": "LOUISE",
"prefix": "MS.",
"credential": "L.P.C. L.A.D.C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.