Individual provider Active NPI

Lois Diann Nelson Fischer, MA, LMFT

  • Marriage & Family Therapist
  • Minnetonka, MN
National Provider Identifier
1053539767
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1499 Issued in MN
Practice address
10505 Wayzata Blvd
Suite # 200
Minnetonka, MN 55305-1502
Phone
(763) 546-6797
NPI assigned
Apr 20, 2007
Last updated
Feb 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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 1499 MN Primary

Addresses

Primary practice location

10505 Wayzata Blvd
Suite # 200
Minnetonka, MN 55305-1502

Mailing address

10505 Wayzata Blvd
Suite # 200
Minnetonka, MN 55305-1502
Phone (763) 546-5797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328001225 MN Practitioner - Marriage and Family Therapist 5890132633 Practice locations: Minnetonka, MN

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10505 Wayzata Blvd
Suite 200
Minnetonka, MN 55305-1502
Phone 7635465797108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1053539767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD",
            "address_2": "SUITE # 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "763-546-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD",
            "address_2": "SUITE # 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "763-546-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "LOIS",
        "middle_name": "DIANN NELSON",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.