Individual provider Active NPI

Michael Joseph Charland, MS LP LMFT LICSW

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1073610655
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 028 Issued in MN
Practice address
1101 University Ave SE
Minneapolis, MN 55414-2212
Phone
(952) 894-4828
Fax
(952) 894-3737
NPI assigned
Sep 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP 1207 MN
Clinical Social Worker 1041C0700X LICSW 647 MN
Marriage & Family Therapist 106H00000X LMFT 028 MN Primary

Addresses

Primary practice location

1101 University Ave SE
Minneapolis, MN 55414-2212

Mailing address

6950 Newbury Rd
Woodbury, MN 55125-4500
Phone (651) 230-6174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP 1207MNMDPsychologist
LICSW 647MNMDClinical Social Worker
LMFT 028MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Counseling Center Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073610655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NEWBURY RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254500",
            "telephone_number": "651-230-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 UNIVERSITY AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142212",
            "telephone_number": "952-894-4828",
            "fax_number": "952-894-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLAND",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MS LP LMFT LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 1207",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "LICSW 647",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "LMFT 028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.