Individual provider Active NPI

Terry Lynn Norman, MA, LAMFT

  • Marriage & Family Therapist
  • St Louis Park, MN
National Provider Identifier
1174863435
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2144 Issued in MN
Practice address
6465 Wayzata Blvd Ste 710
St Louis Park, MN 55426-1733
Phone
(651) 353-5007
Fax
(952) 920-9323
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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 2144 MN Primary

Addresses

Primary practice location

6465 Wayzata Blvd Ste 710
St Louis Park, MN 55426-1733

Mailing address

6465 Wayzata Blvd Ste 710
St Louis Park, MN 55426-1733
Phone (651) 353-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220004219 MN Practitioner - Marriage and Family Therapist 2466896261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West End Therapy Clinic LLCGroup PAC ID 7113361916, 9 clinicians

Practice addresses (Care Compare)

6465 Wayzata Blvd
Suite 710
St Louis Park, MN 55426-1733
Phone (651) 353-5007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
West End Therapy Clinic LLC Marriage & Family Therapist CurrentSince Jul 1, 2018 Accepting new patients

Locations

6465 Wayzata Blvd
Ste 710
St Louis Park, MN 55426
Phone (612) 735-8002

Organizations & group practices 1

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1174863435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD STE 710",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261733",
            "telephone_number": "651-353-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD STE 710",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261733",
            "telephone_number": "651-353-5007",
            "fax_number": "952-920-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA, LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.