Active NPI
Pamela Rieland, LMFT
- Marriage & Family Therapist
- Waite Park, MN
National Provider Identifier
1063968931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2444
- Practice address
- 4 13TH Ave N
Waite Park, MN 56387-1036 - Phone
- (320) 200-1022
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2444 | MN | Primary |
Addresses
Primary practice location
4 13TH Ave N
Waite Park, MN 56387-1036
Mailing address
4 13TH Ave N
Waite Park, MN 56387-1036
Phone (320) 200-1022
Other practice location 1
600 25th Ave S Ste 109
Saint Cloud, MN 56301-4820
Phone (320) 255-0343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 22, 2024 through Jul 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoring Hope Individual & Family Therapy LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
600 25th Ave S
Ste 109
Saint Cloud, MN 56301
Phone (320) 255-0343
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Saint Cloud, MN
- NPI 1316426513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677974400000",
"number": "1063968931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 13TH AVE N",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871036",
"telephone_number": "320-200-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 13TH AVE N",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871036",
"telephone_number": "320-200-1022"
}
],
"practiceLocations": [
{
"address_1": "600 25th Ave S Ste 109",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "563014820",
"country_code": "US",
"telephone_number": "320-255-0343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIELAND",
"first_name": "PAMELA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2023-03-05",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.