Organization Active NPI

Laurel Hiller LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Champlin, MN
National Provider Identifier
1952005407
Registry record updated Apr 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
LAUREL HILLER LLC
Practice address
11468 Marketplace Dr N Ste 6001083
Champlin, MN 55316-3872
Phone
(763) 310-1352
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2023

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

Authorized official

Name
Laurel L Hiller, LPCCNPI 1881163426
Title
Therapist
Phone
(763) 310-1352

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

11468 Marketplace Dr N Ste 6001083
Champlin, MN 55316-3872

Mailing address

11468 Marketplace Dr N Ste 6001083
Champlin, MN 55316-3872
Phone (763) 310-1352

National Provider Directory

National Provider Directory

Locations

11468 Marketplace Dr N
Ste 6001083
Champlin, MN 55316
Phone (763) 310-1352

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": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681603200000",
    "number": "1952005407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11468 MARKETPLACE DR N STE 6001083",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163872",
            "telephone_number": "763-310-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11468 MARKETPLACE DR N STE 6001083",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163872",
            "telephone_number": "763-310-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HILLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "763-310-1352",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champlin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; 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.