Active NPI
Carolynne J Moffat, LMFT
- Marriage & Family Therapist
- Bloomington, MN
National Provider Identifier
1033344031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1737
- Practice address
- 7800 Metro Pkwy
Suite 300
Bloomington, MN 55425-1514 - Phone
- (651) 278-7607
- Fax
- (952) 851-9618
- NPI assigned
- May 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 1737 | MN | Primary |
Addresses
Primary practice location
7800 Metro Pkwy
Suite 300
Bloomington, MN 55425-1514
Mailing address
7800 Metro Pkwy
Suite 300
Bloomington, MN 55425-1514
Phone (651) 278-7607
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1033344031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 METRO PKWY",
"address_2": "SUITE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251514",
"telephone_number": "651-278-7607",
"fax_number": "952-851-9618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 METRO PKWY",
"address_2": "SUITE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251514",
"telephone_number": "651-278-7607",
"fax_number": "952-851-9618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFAT",
"first_name": "CAROLYNNE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.