Stephanie Garcia, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4257 Issued in MN

Practice address

6040 Earle Brown Dr Ste 420
Brooklyn Center, MN 55430-2562

Phone

(612) 865-1170

NPI assigned

Dec 2, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Steps for Change

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1255866984
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1043036460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 EARLE BROWN DR STE 420",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302562",
            "telephone_number": "612-865-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 EARLE BROWN DR STE 420",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302562",
            "telephone_number": "612-865-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Metro Blvd Ste 495",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554393076",
            "country_code": "US",
            "telephone_number": "612-865-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "STEPHANIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulfilledlyf Care and Community Services LLC
• Marcie Susan Fuller, LPCC
• Lanajia Marie Gail
• Anne Louise Gair, MD
• Jane Galvez-Gonzalez
• Aviauna Gardner
• Roberta Tanay Gardner
• Daniela Garibay-Tejeda
• Amy Garrigues, DPT
• Keontae Gaskin

• Marriage & Family Therapist in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.