Individual provider Active NPI

Camrie Trautman

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1093361115
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4661 Issued in MN
Practice address
333 Washington Ave N Ste 200
Minneapolis, MN 55401-1352
Phone
(612) 825-4792
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 4661 MN Primary

Addresses

Primary practice location

333 Washington Ave N Ste 200
Minneapolis, MN 55401-1352

Mailing address

333 Washington Ave N Ste 200
Minneapolis, MN 55401-1352
Phone (952) 412-6844

Other practice location 1

5407 Excelsior Blvd Ste B
St Louis Park, MN 55416-2932
Phone (952) 412-6844

Other practice location 2

950 Wadsworth Blvd Ste 315
Lakewood, CO 80214-4542
Phone (720) 330-0750

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122000119 MN Practitioner - Marriage and Family Therapist 7315472743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West End Therapy Clinic LLCGroup PAC ID 7113361916, 9 clinicians

Practice addresses (Care Compare)

6465 Wayzata Blvd
Suite 710
St Louis Park, MN 55426-1733
Phone (651) 353-5007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4661MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CGC LLC CurrentSince Oct 1, 2024 Accepting new patients
West End Therapy Clinic LLC Marriage & Family Therapist CurrentSince Feb 7, 2025 Accepting new patients
Through the Door Counseling, LLC PastSince Aug 1, 2019 Accepting new patients

Locations

333 Washington Ave N
Minneapolis, MN 55401
Phone (612) 349-2797

333 Washington Ave N
Ste 200
Minneapolis, MN 55401
Phone (612) 251-7995

6465 Wayzata Blvd
Ste 710
St Louis Park, MN 55426
Phone (612) 735-8002

4208 Park Glen Rd
St Louis Park, MN 55416
Phone (612) 825-4792

Organizations & group practices 3

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1093361115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011352",
            "telephone_number": "952-412-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011352",
            "telephone_number": "612-825-4792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5407 Excelsior Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554162932",
            "country_code": "US",
            "telephone_number": "952-412-6844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Wadsworth Blvd Ste 315",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802144542",
            "country_code": "US",
            "telephone_number": "720-330-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAUTMAN",
        "first_name": "CAMRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.