Marilyn Joy Fiske Mast, MS COUNSELING

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6615 Issued in MN

Practice address

900 Long Lake Rd
Suite 320 Arden Woods Psychological Services
New Brighton, MN 55112-6428

Phone

(651) 482-9361

Fax

(651) 482-9888

NPI assigned

Sep 1, 2006

Last updated

Apr 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Marilyn Joy Fiske Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1194827030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE ROAD",
            "address_2": "SUITE 320 ARDENWOODS PSYCHOLOGICAL SERVICES",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "651-482-9361",
            "fax_number": "651-482-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD",
            "address_2": "SUITE 320 ARDEN WOODS PSYCHOLOGICAL SERVICES",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126428",
            "telephone_number": "651-482-9361",
            "fax_number": "651-482-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "MARILYN",
        "middle_name": "JOY FISKE",
        "name_prefix": "Mrs.",
        "credential": "MS COUNSELING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "6615",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "FISKE",
            "middle_name": "JOY",
            "prefix": "MISS",
            "credential": "MS COUNSELING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Markstrom, B.S.
• Amy Marie Markuson, LGSW
• Matthew Alexander Martin, LADC, LPCC
• Meredith Anne Martyr, PHD
• Mary M. Trites, P.a.
• Susanna Elizabeth Matlon
• Matthew D. Berg, D.D.S., P.a. (Rice Creek Dental)
• MBH-MN Medical Clinic PA
• Marzack Balasco McAllister, LADC
• Daniel McCoy, ARNP

• Social Worker in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.