Individual provider Active NPI

Amy Elizabeth Langenfeld, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1912087610
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8979 Issued in MN
Practice address
615 1St Ave NE Ste 310
Minneapolis, MN 55413-2419
Phone
(612) 436-0295
Fax
(612) 436-0163
NPI assigned
Oct 17, 2006
Last updated
May 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8979 MN Primary
Midwife 176B00000X R158216-1 MN

Addresses

Primary practice location

615 1St Ave NE Ste 310
Minneapolis, MN 55413-2419

Mailing address

615 1St Ave NE Ste 310
Minneapolis, MN 55413-2419
Phone (612) 436-0295

Other practice location 1

1315 E 24th St
Minneapolis, MN 55404-3975
Phone (612) 721-9822

Other practice location 2

1315 E 24th St
Minneapolis, MN 55404-3975
Phone (612) 721-9822

Other practice location 3

601 Jacob Ln
Anoka, MN 55303
Phone (763) 587-4200

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL valant.io/io Direct Mental Health Counseling Services, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620001055 MN Practitioner - Nurse Practitioner 3072612787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Counseling Services LLCGroup PAC ID 3173675790, 23 clinicians

Practice addresses (Care Compare)

615 1St Ave NE
Suite 310
Minneapolis, MN 55413-2419
Phone (612) 436-0295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
8979MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Counseling Services, LLC Psychiatric/Mental Health CurrentSince May 15, 2022 Accepting new patients
Fairview Clinics Past Accepting new patients

Locations

615 1st Ave NE
Ste 310
Minneapolis, MN 55413

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1912087610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 1ST AVE NE STE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132419",
            "telephone_number": "612-436-0295",
            "fax_number": "612-436-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 1ST AVE NE STE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132419",
            "telephone_number": "612-436-0295",
            "fax_number": "612-436-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 E 24th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554043975",
            "country_code": "US",
            "telephone_number": "612-721-9822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 E 24th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554043975",
            "country_code": "US",
            "telephone_number": "612-721-9822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Jacob Ln",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "55303",
            "country_code": "US",
            "telephone_number": "763-587-4200",
            "fax_number": "763-587-4205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGENFELD",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8979",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "R158216-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "valant.io/io",
            "affiliation": "Y",
            "endpointDescription": "EHR",
            "affiliationName": "Mental Health Counseling Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "615 1st Ave NE Ste 310",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554132419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.