Faye Wallus, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2579 Issued in MN

Practice address

12900 Technology Dr Apt 654
Eden Prairie, MN 55344-2930

Phone

(651) 503-5968

NPI assigned

Feb 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Minnesota Online Counseling LLC

  • Marriage & Family Therapist
  • White Bear Lake, MN
  • NPI 1609255694
  Medicare reassignment NPD
• Fairweather Investments, LLC

  dba Lakeville Behavioral Health

  • Mental Health Counselor
  • Lakeville, MN
  • NPI 1982238770
  NPD (past)
• Lakeville Behavioral Health, LLC

  • Cognitive & Behavioral Psychologist
  • Lakeville, MN
  • NPI 1750412680
  NPD (past)

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1063950764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 TECHNOLOGY DR APT 654",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442930",
            "telephone_number": "651-503-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 TECHNOLOGY DR APT 654",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442930",
            "telephone_number": "651-503-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLUS",
        "first_name": "FAYE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1162-124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #05080)
• Julia Louise Waligora
• Chelsea Ruthanne Walker, DNP, APRN, FNP-BC
• Reashondra Walker, LGSW
• Sonya Wallestad
• Walmart Inc. (Walmart Pharmacy 10-1855)
• Vernesscia Walrond, LPN
• Scott Walter, DC
• Ruth Angela Wandera, DDS, MS
• Wangerin Chiropractic & Alternative Medicine, P. a.

• Marriage & Family Therapist in Eden Prairie, MN
• Providers in Eden Prairie, 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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.