Ann Michelle Dauffenbach Thompson, MS LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2257 Issued in MN

Practice address

309 Holly LN
Mankato, MN 56001

Phone

(507) 344-5517

NPI assigned

Jan 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Evolving Perspective Mental Health

  • Marriage & Family Therapist
  • Mankato, MN
  • NPI 1063180925
  NPD Authorized official

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1114264116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HOLLY LN",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015422",
            "telephone_number": "507-344-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HOLLY LN",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-344-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANN",
        "middle_name": "MICHELLE DAUFFENBACH",
        "name_prefix": "Ms.",
        "credential": "MS LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "198675",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Leo Thiele, DC
• Karlee Thiesse
• Angela S Thomas, LADC
• Danelle Thomas, RN
• Stephan Thome, M.D.
• Emily Thompson
• Katie Elizabeth Thompson, D.O.
• Matthew Gunars Thompson, MD
• Quinnlyn Karen Thompson
• Thrifty Drug Stores Inc

• Marriage & Family Therapist in Mankato, MN
• Providers in Mankato, 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 Jun 12, 2018; 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.