Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

SOARING EAGLES THERAPY LLC
NPI 1538080320
Social Worker - Clinical in Two Harbors, MN

Active since July 24, 2026
1148 SHOREVIEW RD, TWO HARBORS, MN 55616(218) 595-0017 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soaring Eagles Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOARING EAGLES THERAPY LLC (NPI 1538080320) is a healthcare organization registered as a clinical in Two Harbors, Minnesota and active in the NPI registry since July 2026. The organization lists Alexis Nicole Jacobson, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1538080320
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOARING EAGLES THERAPY LLC
Location Address1148 SHOREVIEW RDTwo Harbors, MN 55616-5011
Mailing Address1148 Shoreview RdTwo Harbors, MN 55616-5011 · (218) 595-0017
Organization SubpartNo
Authorized OfficialAlexis Nicole JacobsonPsychotherapist · (218) 220-7845
Enumeration DateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
NPI 1538080320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1148 SHOREVIEW RD, Two Harbors, MN 55616

Other Identifiers 1

Medicaid1083372106MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1148 SHOREVIEW RD
TWO HARBORS, MN 55616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soaring Eagles Therapy LLC's NPI number?

The NPI number for Soaring Eagles Therapy LLC is 1538080320. It was assigned to this organization in the NPPES registry on July 24, 2026.

Where is Soaring Eagles Therapy LLC located?

Soaring Eagles Therapy LLC is located at 1148 Shoreview Rd, Two Harbors, MN 55616. The listed phone number is (218) 595-0017.

What is Soaring Eagles Therapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Soaring Eagles Therapy LLC was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.