Organization Active NPI

Marbigail Therapy Services LLC

  • Community/Behavioral Health Agency
  • Chaska, MN
National Provider Identifier
1154792117
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
23759 Issued in MN
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

Updated by the provider on Feb 3, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.