Active NPI
Lynndelle Kristin Pratt, M.S., LMFT
- Marriage & Family Therapist
- Brooklyn Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2004
- Practice address
- 7600 Boone Ave N
Suite 2
Brooklyn Park, MN 55428-4563 - Phone
- (763) 504-8458
- NPI assigned
- Mar 24, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 2004 | MN | Primary |
Addresses
Primary practice location
7600 Boone Ave N
Suite 2
Brooklyn Park, MN 55428-4563
Mailing address
7600 Boone Ave N Ste 2
Brooklyn Park, MN 55428-1089
Phone (763) 504-8458
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5353 Wayzata Blvd
Suite 200
St Louis Park, MN 55416-1338
Phone (763) 421-5535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004 | MN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Innovations, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
| West Central Counseling LLC | Marriage & Family Therapist | Past | Accepting new patients |
Locations
121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096
1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535
2270 Ford Pkwy
Saint Paul, MN 55116
Phone (651) 696-5000
2270 Ford Pkwy
Ste 106
Saint Paul, MN 55116
Phone (651) 724-9411
5353 Wayzata Blvd
Ste 200
St Louis Park, MN 55416
Phone (612) 281-5764
Organizations & group practices 2
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.
-
- Counseling Psychologist
- Anoka, MN
- NPI 1992862783
Marriage & Family Therapist
-
- Mental Health Counselor
- Alexandria, MN
- NPI 1649846650
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1073837795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 BOONE AVE N STE 2",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554281089",
"telephone_number": "763-504-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 BOONE AVE N",
"address_2": "SUITE 2",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554284563",
"telephone_number": "763-504-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "LYNNDELLE",
"middle_name": "KRISTIN",
"name_prefix": "Mrs.",
"credential": "M.S., LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.