Individual provider Active NPI

Patricia Ostberg-Speiker, MA

  • Marriage & Family Therapist
  • Golden Valley, MN
National Provider Identifier
1033647391
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
7575 Golden Valley Rd Ste 133
Golden Valley, MN 55427-4570
Phone
(763) 546-8175
Fax
(763) 546-2197
NPI assigned
May 31, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 Primary

Addresses

Primary practice location

7575 Golden Valley Rd Ste 133
Golden Valley, MN 55427-4570

Mailing address

7575 Golden Valley Rd Ste 133
Golden Valley, MN 55427-4570
Phone (763) 546-8175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 12, 2025 through Mar 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4130MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Counseling Services Marriage & Family Therapist CurrentSince Jul 24, 2022 Accepting new patients

Locations

7575 Golden Valley Rd
Ste 133
Golden Valley, MN 55427
Phone (763) 546-8175

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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033647391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 GOLDEN VALLEY RD STE 133",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274570",
            "telephone_number": "763-546-8175",
            "fax_number": "763-546-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 GOLDEN VALLEY RD STE 133",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274570",
            "telephone_number": "763-546-8175",
            "fax_number": "763-546-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTBERG-SPEIKER",
        "first_name": "PATRICIA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.