Mark Schaefer, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

191 Issued in MN

Practice address

8009 34TH Ave S
Suite 1490
Bloomington, MN 55425-1794

Phone

(952) 854-5550

NPI assigned

Oct 20, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154403673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 34TH AVE SO",
            "address_2": "SUITE 1490",
            "city": "BLOOMINGTON,",
            "state": "MN",
            "postal_code": "554251794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 34TH AVE S",
            "address_2": "SUITE 1490",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251794",
            "telephone_number": "952-854-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "MARK",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0637",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "217J1SC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Schaal, MD
• Zachary Schade, DC
• Elizabeth Schaefbauer
• Kelsey Schaefbauer, DPT
• Kristin M Schaefer, MD
• Jeffrey Paul Schaffer, PHARMD
• Paul William Schaffer, R,PH.
• Kristine Linnea Schamber
• Josephine Scharlau, PMHNP
• Michael Daniel Scheidt, OD

• Marriage & Family Therapist in Bloomington, MN
• Providers in Bloomington, 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 Sep 11, 2025; 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.