Individual provider Active NPI

Catherine Marin, M.A., LMFT

  • Marriage & Family Therapist
  • Fridley, MN
National Provider Identifier
1013387489
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2788 Issued in MN
Practice address
5155 E River Rd Ste 401
Fridley, MN 55421-3777
Phone
(763) 780-3307
Fax
(763) 780-3306
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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 2788 MN Primary

Addresses

Primary practice location

5155 E River Rd Ste 401
Fridley, MN 55421-3777

Mailing address

5155 E River Rd Ste 401
Fridley, MN 55421-3777
Phone (763) 780-3307

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
I20240131004465 MN Practitioner - Marriage and Family Therapist 0042663544 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2788MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Leaf Therapy CurrentSince Jan 1, 2024 Accepting new patients
Lighthouse Psychological Services Inc PastSince Dec 1, 2019 Accepting new patients
Lighthouse Psychological Services, Inc. Past Accepting new patients

Locations

2589 Hamline Ave N
Ste C
Saint Paul, MN 55113
Phone (651) 330-6205

2565 Hamline Ave N
Ste A
Saint Paul, MN 55113
Phone (651) 330-6205

Organizations & group practices 3

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1013387489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 E RIVER RD STE 401",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554213777",
            "telephone_number": "763-780-3307",
            "fax_number": "763-780-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E RIVER RD STE 401",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554213777",
            "telephone_number": "763-780-3307",
            "fax_number": "763-780-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "CATHERINE",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.