Marilyn Jo Becker, PHD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3826 Issued in FM

Practice address

17305 Cedar Ave S
Suite 230
Lakeville, MN 55044-3901

Phone

(952) 435-4144

Fax

(952) 435-4149

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Burnsville Counseling & Healing Center

  • Mental Health Counselor
  • Lakeville, MN
  • NPI 1518963750
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184777385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 137TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248794",
            "telephone_number": "952-322-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17305 CEDAR AVE S",
            "address_2": "SUITE 230",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443901",
            "telephone_number": "952-435-4144",
            "fax_number": "952-435-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "MARILYN",
        "middle_name": "JO",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FM",
            "license": "LP3826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Kay Bartholomew, DC
• Kristina Barton, MS, CCC-SLP
• Annika Naomi Bartos, MA, LMFT
• Base Prep Services LLC
• Makayla Elayn Bauer
• Paula Mott Becker, MA LP
• Andrea Bell, PHARM.D.
• Nicole Elizabeth Bellino
• Mark Kevin Bellows, LMFT
• Noel Therese Bellows, RN

• Psychologist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.