Robin Y Peternell, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3685 Issued in MN

Practice address

11800 Aberdeen St NE Ste 100
Blaine, MN 55449-4810

Phone

(763) 270-0054

NPI assigned

Feb 2, 2015

Last updated

Mar 9, 2019By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Natalis Counseling and Psychology Solutions, P.a.

  • Psychologist
  • Saint Paul, MN
  • NPI 1447369673
  Medicare reassignment NPD
• Therapy Connections, LLC

  • Community/Behavioral Health Agency
  • Edina, MN
  • NPI 1730355603
  NPD (past)

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552089600000",
    "number": "1194115873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 ABERDEEN ST NE STE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494810",
            "telephone_number": "763-270-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 ABERDEEN ST NE STE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494810",
            "telephone_number": "763-270-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERNELL",
        "first_name": "ROBIN",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2019-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Rae Pederson, RPH
• Peixin Liu DDS (Family Dental Care)
• Peixin Liu DDS (Family Dental Care)
• Kailany Marie Perez-Cruz
• Performance Healthcare
• Jean Marie Peterson, RN
• Paul H Peterson, DPM
• Petra Homecare Services LLC (Petra Recuperative Care Services)
• Thien Quang Pham, D.D.S.
• Uyen Pham

• Marriage & Family Therapist in Blaine, MN
• Providers in Blaine, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.