LEAH WELLSTONE (MA. LMFT) – Marriage & Family Therapist, NPI 1962401380

LEAH WELLSTONE (MA. LMFT) is a healthcare provider. based in Savage, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA. LMFT. They hold a License No. 1187 (MN). The NPI Number for LEAH WELLSTONE (MA. LMFT) is 1962401380

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
LEAH WELLSTONE (MA. LMFT)
NPI
1962401380
Phone
(952) 994-6896
Address
8640 EAGLE CREEK CIR
Enumeration Date
18 July 2005
Last Update Date
4 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9527467664
Graduation Year
1999 (27 years ago)
PAC ID
9133571797
Group Practice PAC ID
3678625035
Professional Enrollment ID
I20240228001817
Address ID
MN553784400SA8640XCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for LEAH WELLSTONE (MA. LMFT)

  • Eagle Creek Circle, Savage, Scott County, Minnesota, 55337:55379, United States

    SAVAGE, MN 553784400

    Phone: (952) 994-6896

    Type: Mailing

  • 2550 University Ave W

    Suite 314N

    Saint Paul, MN 551141052

    Phone: (651) 645-5323

    Fax: (651) 647-5135

    Type: Location

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: 2024-02-28

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
I20240228001817IMarriage 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 55378)

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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: 3678625035View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Nurse PractitionerCO
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for LEAH WELLSTONE (MA. LMFT)?
LEAH WELLSTONE (MA. LMFT) — NPI 1962401380 — is the standard way to identify this listing.
Does CMS list LEAH WELLSTONE (MA. LMFT) as active?
Yes — LEAH WELLSTONE (MA. LMFT) is active in the NPI listing used on this page.
What taxonomy line describes LEAH WELLSTONE (MA. LMFT)?
For research purposes, treat LEAH WELLSTONE (MA. LMFT) as Marriage & Family Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect LEAH WELLSTONE (MA. LMFT) on a map?
Expect Savage, Minnesota as a primary anchor for LEAH WELLSTONE (MA. LMFT) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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