Active NPI
Leonard Moeller, LAMFT
- Marriage & Family Therapist
- New Brighton, MN
National Provider Identifier
1902298938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LAMFT 3048
- Practice address
- 550 County Road D W
Suite 10
New Brighton, MN 55112-3517 - Phone
- (651) 644-4022
- NPI assigned
- Feb 27, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LAMFT 3048 | MN | Primary |
Addresses
Primary practice location
550 County Road D W
Suite 10
New Brighton, MN 55112-3517
Mailing address
101 3Rd Ave S
South St Paul, MN 55075-2310
Phone (651) 280-7939
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 |
|---|---|---|---|
| LAMFT 3048 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1902298938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 3RD AVE S",
"city": "SOUTH ST PAUL",
"state": "MN",
"postal_code": "550752310",
"telephone_number": "651-280-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 COUNTY ROAD D W",
"address_2": "SUITE 10",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551123517",
"telephone_number": "651-644-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOELLER",
"first_name": "LEONARD",
"name_prefix": "Mr.",
"credential": "LAMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-27",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "LAMFT 3048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Brighton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.