Michelle Faith Abbott, MA, LMFT
Individual provider Active NPI Marriage & Family Therapist · Lake Elmo, MN
NPI 1104094135 · NPPES record last updated Mar 9, 2018
Key facts
- NPI
- 1104094135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628 - Phone
- (651) 379-0444
- Fax
- (651) 379-0448
- NPI assigned
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Tru Healthcare Inc
Practice addresses (Care Compare)
335 E Germann Rd
Suite 110
Gilbert, AZ 85297-2920
Phone (480) 656-1500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240112000210 | MN | Practitioner - Marriage and Family Therapist | 6204287493 | |
| I20240703002907 | AZ | Practitioner - Marriage and Family Therapist | 6204287493 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1811 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tru Healthcare, Inc. | Current |
Accepting new patients | |
| Bachmann and Associates, Inc | Past |
Accepting new patients | |
| Bachmann and Associates, Inc. Dba Counseling Care | Past |
Accepting new patients |
Locations
335 E Germann Rd
Ste 110
Gilbert, AZ 85297
Phone (480) 656-1500
2730 S Val Vista Dr
Ste 115
Gilbert, AZ 85295
Phone (480) 656-1500
14525 Highway 7
Ste 250
Minnetonka, MN 55345
Phone (612) 274-7290
2586 7th Ave E
Saint Paul, MN 55109
4100 Lexington Ave N
Ste 150
Shoreview, MN 55126
Phone (218) 360-0283
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Mailing address
4201 Excelsior Blvd
St Louis Park, MN 55416-4728
Phone (952) 933-8900
Other providers in Lake Elmo, MN
- 11020 39TH St N Opco LLC
- Amy Abrams
- Leo Lynn Ackerman
- Alexis Renee Adamsky
- Abiola Adedipe
- Emily E Adrian
All providers in Lake Elmo, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.