Individual provider Active NPI

Inez Bersie-Mize, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1164527180
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1106 Issued in MN
Practice address
1895 Laurel Ave
Saint Paul, MN 55104-5938
Phone
(651) 249-9749
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1106 MN Primary

Addresses

Primary practice location

1895 Laurel Ave
Saint Paul, MN 55104-5938

Mailing address

1830 Selby Ave
Saint Paul, MN 55104-6024
Phone (651) 647-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1106MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Past Accepting new patients
Pathway Virtu-Health Past Accepting new patients
Midwest Center for Personal & Family Development PA Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1164527180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046024",
            "telephone_number": "651-647-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 LAUREL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045938",
            "telephone_number": "651-249-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSIE-MIZE",
        "first_name": "INEZ",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.