Active NPI
Dma Consulting LLC
- Marriage & Family Therapist
- Forest Lake, MN
National Provider Identifier
1043330335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1061
- Legal business name
- DMA CONSULTING LLC
- Practice address
- 24799 Forest Blvd
Forest Lake, MN 55025-7215 - Phone
- (651) 257-4406
- Fax
- (651) 257-4406
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Michael Anderson, D.MIN.
- Title
- Managing Member
- Phone
- (651) 257-4406
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1061 | MN | Primary |
Addresses
Primary practice location
24799 Forest Blvd
Forest Lake, MN 55025-7215
Mailing address
PO Box 536
Forest Lake, MN 55025-0536
Phone (651) 257-4406
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9630 | Other | MN | BCBS |
| 172491 | Other | MN | UCARE |
| 9629 | Other | MN | BCBS |
| 172491 | Other | MN | BHP |
| 6274983 | Other | MN | MEDICA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Forest Lake, MN
- NPI 1417031667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043330335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 536",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550250536",
"telephone_number": "651-257-4406",
"fax_number": "651-257-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24799 FOREST BLVD",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550257215",
"telephone_number": "651-257-4406",
"fax_number": "651-257-4406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DMA CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "651-257-4406",
"authorized_official_credential": "D.MIN."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9630",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "172491",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9629",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHP",
"identifier": "172491",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6274983",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.