Active NPI
Elizabeth Powell, LMFT
- Marriage & Family Therapist
- Minneapolis, MN
National Provider Identifier
1023858610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4201
- Practice address
- 79 13TH Ave NE Ste 103B
Minneapolis, MN 55413-1071 - Phone
- (218) 429-5434
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4201 | MN | Primary |
Addresses
Primary practice location
79 13TH Ave NE Ste 103B
Minneapolis, MN 55413-1071
Mailing address
1609 County Road 42 W Ste 309
Burnsville, MN 55306-6213
Phone (763) 607-4038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4201 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1023858610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 COUNTY ROAD 42 W STE 309",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553066213",
"telephone_number": "763-607-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 13TH AVE NE STE 103B",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131071",
"telephone_number": "218-429-5434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ELIZABETH",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.