Individual provider Active NPI

Heather Montgomery Verjovsky, LMFT

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1184155608
Registry record updated Mar 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2763 Issued in MN
Practice address
6800 France Ave S
Suite 520
Edina, MN 55435-2007
Phone
(952) 836-4525
NPI assigned
Mar 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2017

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 2763 MN Primary

Addresses

Primary practice location

6800 France Ave S
Suite 520
Edina, MN 55435-2007

Mailing address

2240 Sargent Ave
Saint Paul, MN 55105-1158

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

NPI Registry JSON

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490486400000",
    "number": "1184155608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 SARGENT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 FRANCE AVE S",
            "address_2": "SUITE 520",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352007",
            "telephone_number": "952-836-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY VERJOVSKY",
        "first_name": "HEATHER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2017-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; 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.