Nesting Space Therapy PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

NESTING SPACE THERAPY PLLC

Practice address

38868 12TH Ave # 1094
North Branch, MN 55056-6658

Phone

(952) 239-7834

NPI assigned

May 23, 2025

Organization subpart

No

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

Authorized official

Name

Kamber PeerboomNPI 1386230894

Title

Co-Founder

Phone

(952) 239-7834

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamber Peerboom, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1386230894
  Medicare reassignment NPD Authorized official
• Tracy Blad, MA,LMFT

  • Marriage & Family Therapist
  • Boca Raton, FL
  • NPI 1871019919

  MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1972396851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12755 EAGLE RIDGE DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373583",
            "telephone_number": "952-239-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38868 12TH AVE # 1094",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566658",
            "telephone_number": "952-239-7834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12755 Eagle Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553373583",
            "country_code": "US",
            "telephone_number": "952-239-7834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NESTING SPACE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "PEERBOOM",
        "authorized_official_first_name": "KAMBER",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "952-239-7834"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jamie Lee Nelson, MA, LPCC, LADC
• Jarrod Allen Nelson, O.D.
• Michelle M Nelson, MSN, FNP-BC
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• Kristi Lynn Newton
• Alice Ethel Nordlum
• North Branch Family Chiropractic LLC
• North Branch Isd 138

• Marriage & Family Therapist in North Branch, MN
• Providers in North Branch, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.