Individual provider Active NPI

Christine Chapman Paulson, LMFT

  • Marriage & Family Therapist
  • Mound, MN
National Provider Identifier
1003987215
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1213 Issued in MN
Practice address
5200 Maywood Rd Ste 202
Mound, MN 55364-1776
Phone
(952) 472-2408
Fax
(952) 495-1409
NPI assigned
Nov 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1213 MN Primary

Addresses

Primary practice location

5200 Maywood Rd Ste 202
Mound, MN 55364-1776

Mailing address

2552 Colfax Ave S
Minneapolis, MN 55405-2946
Phone (612) 203-8433

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
I20240513001741 MN Practitioner - Marriage and Family Therapist 8123469822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Jonas Center, Inc.Group PAC ID 5890888556, 8 clinicians

Practice addresses (Care Compare)

7525 Mitchell Rd
Suite 215
Eden Prairie, MN 55344-1957
Phone (612) 201-6654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Jonas Center, Inc. Marriage & Family Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

7525 Mitchell Rd
Ste 215
Eden Prairie, MN 55344
Phone (320) 864-6139

925 12th St E
Ste 102
Glencoe, MN 55336
Phone (320) 864-6139

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003987215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 COLFAX AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052946",
            "telephone_number": "612-203-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 MAYWOOD RD STE 202",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553641776",
            "telephone_number": "952-472-2408",
            "fax_number": "952-495-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "CHRISTINE",
        "middle_name": "CHAPMAN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mound, MN

Sources for this page

Verify at the official NPI Registry.