SOPHIE TEAGUE MS, LADC, LPCC
NPI 1730817461
Counselor - Professional in Maplewood, MN

Active since August 10, 2022PECOS Enrolled
3100 KENNARD ST STE 250, MAPLEWOOD, MN 55109(651) 313-8080 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2025, Aug 10, 2022 (2 updates tracked since 2022).

About Sophie Teague Ms, Ladc, Lpcc NPPES

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

SOPHIE TEAGUE MS, LADC, LPCC (NPI 1730817461) is an individual professional provider in Maplewood, Minnesota, licensed in Minnesota (5332) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730817461
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSOPHIE TEAGUECredential: MS, LADC, LPCC
Location Address3100 KENNARD ST STE 250Maplewood, MN 55109-5465
Mailing Address1370 Mendota Heights RdMendota Heights, MN 55120-1281 · (651) 313-8080
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 10, 2022
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
NPI 1730817461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 5332
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306416 (MN)
3100 KENNARD ST STE 250, Maplewood, MN 55109

Other Names 1

Former Name (1)Sophie Leonard

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sophie Teague Ms, Ladc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406342989
PECOS Enrollment IDI20260105002480
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

Marriage & Family Therapist
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Counselor (Professional)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Counselor (Professional)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Counselor (Mental Health)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Counselor (Mental Health)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Counselor (Professional)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Social Worker (Clinical)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Social Worker (Clinical)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109

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 Sophie Teague's NPI number?

The NPI number for Sophie Teague is 1730817461. It was assigned to this individual provider in the NPPES registry on August 10, 2022. The provider is also known as Sophie Leonard.

Where is Sophie Teague located?

Sophie Teague practices at 3100 Kennard St Ste 250, Maplewood, MN 55109. The listed phone number is (651) 313-8080.

What is Sophie Teague's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sophie Teague enrolled in Medicare?

Yes. Sophie Teague is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophie Teague was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.