Mamie Marissa Vetsch, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3570 Issued in MN

Practice address

1150 Montreal Ave Ste 107
Saint Paul, MN 55116-2393

Phone

(651) 313-8080

NPI assigned

Sep 21, 2017

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ellie Family Services, PLLP

  • Community/Behavioral Health Agency
  • Mendota Heights, MN
  • NPI 1740664150
  NPD
• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188

  Marriage & Family Therapist

  NPD
• Wholehearted Healing LLC

  • Mental Health Counselor
  • Wayzata, MN
  • NPI 1255934196
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1073022034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MONTREAL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162390",
            "telephone_number": "651-313-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MONTREAL AVE STE 107",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162393",
            "telephone_number": "651-313-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 W Diamond Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554191926",
            "country_code": "US",
            "telephone_number": "763-280-9467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VETSCH",
        "first_name": "MAMIE",
        "middle_name": "MARISSA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Verner, M.D.
• Ruth Verner, M.D.
• Megan Vertin, LMFT
• Melissa Vesperman
• Amy J Vetruba, CRNA
• Leah Angela Vibar, D.C.
• Chad Randal Vickers, PMHNP
• Lorraine C Victor, CNNP
• Victorious Heart Services
• Victory Home Health Care LLC

• Marriage & Family Therapist in Saint Paul, MN
• Providers in Saint Paul, 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 Jul 17, 2019; 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.