Individual provider Active NPI

Pamela Rieland, LMFT

  • Marriage & Family Therapist
  • Waite Park, MN
National Provider Identifier
1063968931
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2444 Issued in MN
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

Updated by the provider on Mar 5, 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 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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.