Organization Active NPI

Healing Lives, LLC

  • Mental Health Counselor
  • Edina, MN
National Provider Identifier
1932575891
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1009 Issued in MN
Legal business name
HEALING LIVES, LLC
Practice address
6600 France Ave S Ste 418
Edina, MN 55435-1805
Phone
(651) 315-5254
NPI assigned
Aug 14, 2015
Organization subpart
Yes
Parent organization
PREGNANCY & POSTPARTUM SUPPORT MNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Kathy Boisjoli, MA, LPCCNPI 1487991212
Title
Provider
Phone
(651) 315-5254

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1009 MN Primary

Addresses

Primary practice location

6600 France Ave S Ste 418
Edina, MN 55435-1805

Mailing address

6600 France Ave S Ste 418
Edina, MN 55435-1805
Phone (651) 315-5254

National Provider Directory

National Provider Directory
Tax ID family
Healing Lives LLC2 organizations share this tax ID, including this one
Part of
Pregnancy and Postpartum Support Minnesota

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6600 France Ave S
Ste 418
Edina, MN 55435
Phone (612) 387-1797

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": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1932575891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 418",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "651-315-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 418",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "651-315-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING LIVES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREGNANCY & POSTPARTUM SUPPORT MN",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "BOISJOLI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "651-315-5254",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.