Individual provider Active NPI

Kirsten Louise Schoenleber, PH.D.

  • Clinical Psychologist
  • Roseville, MN
National Provider Identifier
1962466342
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP0781 Issued in MN
Practice address
2233 Hamline Ave N Ste 607
Roseville, MN 55113-5007
Phone
(651) 262-2347
Fax
(651) 262-2348
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP0781 MN Primary

Addresses

Primary practice location

2233 Hamline Ave N Ste 607
Roseville, MN 55113-5007

Mailing address

2233 Hamline Ave N Ste 607
Roseville, MN 55113-5007
Phone (651) 262-2347

Other identifiers 4

IdentifierTypeStateIssuer
917271013577OtherMNBEHAVIORAL HEALTHCARE PRO
301K9SCOtherMNBCBS
102654OtherMNHEALTHPARTNERS
6139439OtherMNUNITED BEHAVIORAL HEALTH

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP0781MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirsten Schoenleber, LLC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1962466342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N STE 607",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135007",
            "telephone_number": "651-262-2347",
            "fax_number": "651-262-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N STE 607",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135007",
            "telephone_number": "651-262-2347",
            "fax_number": "651-262-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENLEBER",
        "first_name": "KIRSTEN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTHCARE PRO",
            "identifier": "917271013577",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "301K9SC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "102654",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6139439",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.