Individual provider Active NPI

Lauren A Robbins

  • Mental Health Counselor
  • White Bear Lake, MN
National Provider Identifier
1962824664
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1287 Issued in MN
Practice address
2025 4TH St Ste 100
White Bear Lake, MN 55110-2875
Phone
(651) 212-4920
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303202 MN
Mental Health Counselor 101YM0800X 1287 MN Primary

Addresses

Primary practice location

2025 4TH St Ste 100
White Bear Lake, MN 55110-2875

Mailing address

10680 Able St NE
Blaine, MN 55434-4528

Other practice location 1

11280 86th Ave N
Maple Grove, MN 55369-4510
Phone (612) 965-2622

Other practice location 2

653 Grand Ave
Saint Paul, MN 55105-3401
Phone (651) 212-4920 ext. 2

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227001529 MN Practitioner - Mental Health Counselor 9335599794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303202MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Robbins Current Accepting new patients
Wild Tree Psychotherapy, LLC CurrentSince Dec 12, 2023 Accepting new patients
Sarah C. Chambers, P.a. Past Accepting new patients

Locations

906 Vermillion St
Hastings, MN 55033
Phone (651) 212-4920

653 Grand Ave
Saint Paul, MN 55105
Phone (651) 212-4920

2025 4th St
Ste 100
White Bear Lake, MN 55110
Phone (651) 212-4920

Organizations & group practices 3

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": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1962824664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 ABLE ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 4TH ST STE 100",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102875",
            "telephone_number": "651-212-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11280 86th Ave N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694510",
            "country_code": "US",
            "telephone_number": "612-965-2622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "653 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053401",
            "country_code": "US",
            "telephone_number": "651-212-4920 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "LAUREN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303202",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

Verify at the official NPI Registry.