Active NPI
Linda E Kordosky, LMFT
- Marriage & Family Therapist
- Forest Lake, MN
National Provider Identifier
1194086686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1987
- Practice address
- 146 Lake St N
Suite 105
Forest Lake, MN 55025-2518 - Phone
- (651) 982-2880
- Fax
- (651) 982-2884
- NPI assigned
- May 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1987 | MN | Primary |
Addresses
Primary practice location
146 Lake St N
Suite 105
Forest Lake, MN 55025-2518
Mailing address
146 Lake St N
Suite 105
Forest Lake, MN 55025-2518
Phone (651) 982-2880
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1987 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savi Services, Inc | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Forest Lake, MN
- NPI 1043597461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1194086686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 LAKE ST N",
"address_2": "SUITE 105",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252518",
"telephone_number": "651-982-2880",
"fax_number": "651-982-2884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 LAKE ST N",
"address_2": "SUITE 105",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252518",
"telephone_number": "651-982-2880",
"fax_number": "651-982-2884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORDOSKY",
"first_name": "LINDA",
"middle_name": "E",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.