Active NPI
Nicole Scales Lindberg LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Louis Park, MN
National Provider Identifier
1972452845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NICOLE SCALES LINDBERG LLC
- Practice address
- 4212 Park Glen Rd
St Louis Park, MN 55416-4758 - Phone
- (612) 314-9034
- NPI assigned
- Jan 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Susan Scales Lindberg, MSW, MA
- Title
- Outpatient Mental Health Therapist
- Phone
- (612) 314-9034
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
4212 Park Glen Rd
St Louis Park, MN 55416-4758
Mailing address
715 Maple Hills Dr Apt B
Maplewood, MN 55117-2865
Phone (612) 314-9034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Maplewood, MN
- NPI 1649437419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769212800000",
"number": "1972452845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 MAPLE HILLS DR APT B",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551172865",
"telephone_number": "612-314-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 PARK GLEN RD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554164758",
"telephone_number": "612-314-9034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE SCALES LINDBERG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-24",
"last_updated": "2026-01-24",
"certification_date": "2026-01-24",
"status": "A",
"authorized_official_last_name": "SCALES LINDBERG",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "SUSAN",
"authorized_official_title_or_position": "OUTPATIENT MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "612-314-9034",
"authorized_official_credential": "MSW, MA"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2026; 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.