SIMONE GREENLEAF – Marriage & Family Therapist, NPI 1336998715

SIMONE GREENLEAF is a healthcare provider. based in Saint paul, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 4037 (MN). The NPI Number for SIMONE GREENLEAF is 1336998715

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SIMONE GREENLEAF
NPI
1336998715
Phone
(651) 280-2310
Address
451 LEXINGTON PKWY N
Enumeration Date
16 May 2024
Last Update Date
16 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512802310
Graduation Year
2019 (7 years ago)
PAC ID
3476995739
Group Practice PAC ID
0941288922
Professional Enrollment ID
I20240531002162
Address ID
MN551044636SA451XXNXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for SIMONE GREENLEAF

  • 451 LEXINGTON PKWY N

    SAINT PAUL, MN 551044636

    Phone: (651) 280-2310

    Fax: (651) 280-3995

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240531002162IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941288922View full group profile
NameSpecialtyState
Mental Health CounselorMN
-MN
-MN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What NPI should I save for SIMONE GREENLEAF?
Save NPI 1336998715 if you need a stable reference for SIMONE GREENLEAF.
Does this profile mean SIMONE GREENLEAF is currently active?
Yes — SIMONE GREENLEAF appears active in the national provider directory.
Can you summarize SIMONE GREENLEAF's specialty in plain language?
Clinically, the directory lists SIMONE GREENLEAF with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place SIMONE GREENLEAF?
The snapshot lists Saint Paul, Minnesota for SIMONE GREENLEAF; download NPPES for the complete set.
What if Saint Paul, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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