Individual provider Active NPI

Heather Frantum-Mathes, LMFT

  • Marriage & Family Therapist
  • Mankato, MN
National Provider Identifier
1043358203
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1290 Issued in MN
Practice address
151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815
Phone
(507) 386-7121
Fax
(507) 344-0690
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 1290 MN Primary

Addresses

Primary practice location

151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815

Mailing address

151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815
Phone (507) 386-7121

Other identifiers 5

IdentifierTypeStateIssuer
990991045427OtherMNPREFERRED ONE INDIV #
819613300MedicaidMN
HP55898OtherMNHEALTH PARTNERS INDIV #
136621OtherMNUCARE INDIVIDUAL #
431M6FROtherMNBCBS INDIVIDUAL #

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

LicenseStateTypeSpecialty
1290MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Journeys Toward Healing Counseling Center LLC CurrentSince Jan 29, 2023 Accepting new patients

Locations

151 Saint Andrews Ct
Ste 710
Mankato, MN 56001
Phone (507) 386-7121

915 S Front St
Mankato, MN 56001
Phone (507) 386-7121

Organizations & group practices 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1043358203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 710",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018815",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 710",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018815",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANTUM-MATHES",
        "first_name": "HEATHER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE INDIV #",
            "identifier": "990991045427",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819613300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS INDIV #",
            "identifier": "HP55898",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE INDIVIDUAL #",
            "identifier": "136621",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "431M6FR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.