Individual provider Active NPI

Nancy K Paulson, LMFT

  • Marriage & Family Therapist
  • Faribault, MN
National Provider Identifier
1215329156
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2607 Issued in MN
Practice address
122 Central Ave N
Faribault, MN 55021-5211
Phone
(507) 390-4046
Fax
(507) 323-8141
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2607 MN Primary

Addresses

Primary practice location

122 Central Ave N
Faribault, MN 55021-5211

Mailing address

122 Central Ave N # 431
Faribault, MN 55021-5211
Phone (507) 390-4046

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240228001308 MN Practitioner - Marriage and Family Therapist 0749625994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strong Foundations Counseling, LLCGroup PAC ID 3375987068, 2 clinicians

Practice addresses (Care Compare)

416 Heritage PL
Faribault, MN 55021-5248
Phone (507) 491-4848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Foundations Counseling, LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

416 Heritage Pl
Faribault, MN 55021
Phone (507) 332-2002

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.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1215329156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CENTRAL AVE N # 431",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215211",
            "telephone_number": "507-390-4046",
            "fax_number": "507-323-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CENTRAL AVE N",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215211",
            "telephone_number": "507-390-4046",
            "fax_number": "507-323-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "NANCY",
        "middle_name": "K",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

Verify at the official NPI Registry.