Paul Reps

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3883 Issued in MN

Practice address

199 Coon Rapids Blvd NW Ste 208
Coon Rapids, MN 55433-5860

Phone

(612) 440-1899

NPI assigned

Apr 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Mandy Wannarka, Licsw Inc

  • Clinical Social Worker
  • Coon Rapids, MN
  • NPI 1861038515
  Medicare reassignment NPD
• Family Innovations, Inc.

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1073967352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 COON RAIDS BLVD NW SUITE 208",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 COON RAPIDS BLVD NW STE 208",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335860",
            "telephone_number": "612-440-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPS",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Relieve Medical Inc
• Renaissance Adult Day Care Inc.
• Renewed Life Counseling, LLC
• Renewly Counseling PLLC
• George Brian Renier, MD
• Restoring Wellness Chiropractic, LLC
• Restoring Wellness Chiropractic, LLC
• Jennifer Rethwisch, RDH
• Mark Retz
• Daniel W Reynolds, MD

• Marriage & Family Therapist in Coon Rapids, MN
• Providers in Coon Rapids, 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 May 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.