Community Based Family Therapy Associates, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1430 Issued in MN

Legal business name

COMMUNITY BASED FAMILY THERAPY ASSOCIATES, INC.

Practice address

1937 Woodlane Dr Ste 206
Woodbury, MN 55125-4044

Phone

(651) 206-3584

Fax

(651) 501-7649

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Terri Taylor, MS, LMFTNPI 1770672941

Title

Ceo

Phone

(651) 206-3584

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terri Taylor, MS, LMFT

  • Marriage & Family Therapist
  • Woodbury, MN
  • NPI 1770672941
  NPD Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724544000000",
    "number": "1194815969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 WOODLANE DR STE 206",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254044",
            "telephone_number": "651-206-3584",
            "fax_number": "651-501-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 WOODLANE DR STE 206",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254044",
            "telephone_number": "651-206-3584",
            "fax_number": "651-501-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BASED FAMILY THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-206-3584",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aixa Mercedes Collazo Fernandez
• Rosella Collins-Puoch, LICSW
• Erik Collins, ATC, ATR
• Jaclyn Collins, OTR/L
• Morgan Colville
• Community Enrichment Services LLC
• Community Partner
• Companionship Care LLC
• David Robert Michael Comparetto, LMFT
• Compass Health Care LLC

• Marriage & Family Therapist in Woodbury, MN
• Providers in Woodbury, 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 Aug 25, 2024; 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.