Active NPI
Ashley Lace Landers, M.S.
- Marriage & Family Therapist
- Buffalo, MN
National Provider Identifier
1205151552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1879
- Practice address
- 308 12TH Ave S
Buffalo, MN 55313-2321 - Phone
- (763) 682-4400
- Fax
- (763) 682-1553
- NPI assigned
- Mar 30, 2010
- 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 | 1879 | MN | Primary |
Addresses
Primary practice location
308 12TH Ave S
Buffalo, MN 55313-2321
Mailing address
308 12TH Ave S
Buffalo, MN 55313-2321
Phone (763) 682-4400
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1205151552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 12TH AVE S",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553132321",
"telephone_number": "763-682-4400",
"fax_number": "763-682-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 12TH AVE S",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553132321",
"telephone_number": "763-682-4400",
"fax_number": "763-682-1553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "ASHLEY",
"middle_name": "LACE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.