Organization Active NPI

Nicole Scales Lindberg LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Louis Park, MN
National Provider Identifier
1972452845
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jan 24, 2026

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

Authorized official

Name
Nicole Susan Scales Lindberg, MSW, MANPI 1649437419
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20260212001741 MN Part B Supplier - Clinic/Group Practice 7315426095 Receives reassigned benefits from 1 practitioner
Practice locations: St Louis Park, MN

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.