Organization Active NPI

J. Maris Gilbert

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1194038844
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1744 Issued in MN
Legal business name
J. MARIS GILBERT
Practice address
4749 Chicago Ave
Suite 3a
Minneapolis, MN 55407-3556
Phone
(612) 616-0632
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Ms. Janet Maris Gilbert, LMFT
Title
Therapist
Phone
(612) 616-0632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1744 MN Primary

Addresses

Primary practice location

4749 Chicago Ave
Suite 3a
Minneapolis, MN 55407-3556

Mailing address

4749 Chicago Ave
Suite 3a
Minneapolis, MN 55407-3556
Phone (612) 616-0632

National Provider Directory

National Provider Directory

Locations

4749 Chicago Ave
Ste 3A
Minneapolis, MN 55407
Phone (612) 616-0632

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1194038844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 CHICAGO AVE",
            "address_2": "SUITE 3A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073556",
            "telephone_number": "612-616-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 CHICAGO AVE",
            "address_2": "SUITE 3A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073556",
            "telephone_number": "612-616-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MARIS GILBERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARIS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "612-616-0632",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.