Individual provider Active NPI

Marsha Werner, PSYD, MA, LP, LMFT

  • Psychologist
  • Moorhead, MN
National Provider Identifier
1003265752
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
40645 Issued in TX
Practice address
800 Holiday Dr Ste 170
Moorhead, MN 56560-4400
Phone
(218) 979-3828
NPI assigned
Jun 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3462 MN
Marriage & Family Therapist 106H00000X 2017-041A ND
Specialist 174400000X
Psychologist 103T00000X 40645 TX Primary

Addresses

Primary practice location

800 Holiday Dr Ste 170
Moorhead, MN 56560-4400

Mailing address

2419 12TH Ave S Ste 2C
Moorhead, MN 56560-3848
Phone (218) 329-6294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320002006 MN Practitioner - Marriage and Family Therapist 1759728298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Autonomy Counseling PLLCGroup PAC ID 6305283847, 3 clinicians

Practice addresses (Care Compare)

800 Holiday Dr
Suite 170
Moorhead, MN 56560-4400
Phone (218) 293-4221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2017-041ANDMDMarriage & Family Therapist
40645TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Autonomy Counseling, PLLC Psychologist CurrentSince Jan 1, 2024 Accepting new patients
Therapy Services With Shelley, PLLC Past Accepting new patients

Locations

800 Holiday Dr
Ste 170
Moorhead, MN 56560
Phone (218) 293-4221

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1003265752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 12TH AVE S STE 2C",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603848",
            "telephone_number": "218-329-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOLIDAY DR STE 170",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565604400",
            "telephone_number": "218-979-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "MARSHA",
        "name_prefix": "Dr.",
        "credential": "PSYD, MA, LP, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3462",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ND",
            "license": "2017-041A",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "40645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

Verify at the official NPI Registry.