Individual provider Active NPI

Bryanna Garwood, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1013501485
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4111 Issued in MN
Practice address
5155 E River Rd Ste 401
Minneapolis, MN 55421-3777
Phone
(507) 720-8011
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 4111 MN Primary

Addresses

Primary practice location

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

Mailing address

236 Goodrich Ave
Saint Paul, MN 55102-2718
Phone (815) 514-8231

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
I20251120002362 MN Practitioner - Marriage and Family Therapist 7315439106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Psychological Services, Inc. CurrentSince Oct 26, 2025 Accepting new patients
Lighthouse Psychological Services Inc CurrentSince Mar 4, 2021 Accepting new patients

Locations

5155 E River Rd
Ste 401
Minneapolis, MN 55421
Phone (763) 438-4038

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": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1013501485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 GOODRICH AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022718",
            "telephone_number": "815-514-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E RIVER RD STE 401",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213777",
            "telephone_number": "507-720-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARWOOD",
        "first_name": "BRYANNA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.