Active NPI
Marbigail Therapy Services LLC
- Community/Behavioral Health Agency
- Chaska, MN
National Provider Identifier
1154792117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 23759
- Legal business name
- MARBIGAIL THERAPY SERVICES LLC
- Practice address
- 562 Bavaria LN
Chaska, MN 55318-4597 - Phone
- (612) 236-6799
- NPI assigned
- Oct 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosa M Garcia, MSW, LICSW
- Title
- Clinical Therapist
- Phone
- (612) 236-6799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 23759 | MN | Primary |
Addresses
Primary practice location
562 Bavaria LN
Chaska, MN 55318-4597
Mailing address
PO Box 772
Excelsior, MN 55331-0772
Phone (612) 236-6799
Other practice location 1
5540 Wedgewood Dr
Excelsior, MN 55331-8417
Phone (612) 236-6799
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1154792117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553310772",
"telephone_number": "612-236-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 BAVARIA LN",
"city": "CHASKA",
"state": "MN",
"postal_code": "553184597",
"telephone_number": "612-236-6799"
}
],
"practiceLocations": [
{
"address_1": "5540 Wedgewood Dr",
"address_purpose": "LOCATION",
"city": "Excelsior",
"state": "MN",
"postal_code": "553318417",
"country_code": "US",
"telephone_number": "612-236-6799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MARBIGAIL THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-15",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "ROSA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL THERAPIST",
"authorized_official_telephone_number": "612-236-6799",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "23759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.