Organization Active NPI

Neuro Allies LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burnsville, MN
National Provider Identifier
1902758071
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEURO ALLIES LLC
Practice address
12400 Portland Ave Ste 170
Burnsville, MN 55337-6878
Phone
(952) 855-7727
NPI assigned
Feb 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Dr. Laurie Lynn Kincade, PHD, LP, NCSPNPI 1356061766
Title
Clinical Psychologist; Owner
Phone
(952) 855-7727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12400 Portland Ave Ste 170
Burnsville, MN 55337-6878

Mailing address

12400 Portland Ave Ste 170
Burnsville, MN 55337-6878
Phone (952) 855-7727

National Provider Directory

National Provider Directory

Locations

12400 Portland Ave
Ste 170
Burnsville, MN 55337
Phone (952) 808-3166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1902758071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 170",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376878",
            "telephone_number": "952-855-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 170",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376878",
            "telephone_number": "952-855-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO ALLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "KINCADE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST; OWNER",
        "authorized_official_telephone_number": "952-855-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP, NCSP"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.