Jeremy Faus

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3592 Issued in MN

Practice address

1405 East Main Street
Suite 2
New Prague, MN 56071

Phone

(952) 217-6419

NPI assigned

Mar 31, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mosaic Family Services, LTD.

  • Marriage & Family Therapist
  • New Prague, MN
  • NPI 1275195737
  NPD Authorized official

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1154827087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 DUNLAP ST S APT 5",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 EAST MAIN STREET",
            "address_2": "SUITE 2",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "56071",
            "telephone_number": "952-217-6419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 Main St E",
            "address_purpose": "LOCATION",
            "city": "New Prague",
            "state": "MN",
            "postal_code": "560714710",
            "country_code": "US",
            "telephone_number": "952-201-1681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUS",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-31",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edina Eye Physicians and Surgeons PA (Twin Cities Eye Consultants)
• Electromed, Inc.
• Emerald Bridge Wellness PLLC
• Kendra Everson
• Eyewear Specialists Inc
• Patricia Friedrich, OTR/L
• Renae Madison Gage, MD
• Kathleen J Garry, D.D.S.
• Heather L Giesen, D.C.
• Carly Rose Gifferson, PT, DPT

• Marriage & Family Therapist in New Prague, MN
• Providers in New Prague, 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 5, 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.