Individual provider Active NPI

Patrick Stephen Robinson, LMFT

  • Marriage & Family Therapist
  • Golden Valley, MN
National Provider Identifier
1215424585
Registry record updated Apr 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2656 Issued in MN
Practice address
1405 Lilac Dr N Ste 150
Golden Valley, MN 55422-4536
Phone
(612) 280-3048
NPI assigned
Apr 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 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 2656 MN Primary

Addresses

Primary practice location

1405 Lilac Dr N Ste 150
Golden Valley, MN 55422-4536

Mailing address

489 Leeward TRL
Woodbury, MN 55129-9494
Phone (612) 251-1575

Other names 1

  • Jung Soo Kim Former name

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
I20240202002254 MN Practitioner - Marriage and Family Therapist 0648623934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians

Practice addresses (Care Compare)

45 W 10TH St
Suite 3000
St Paul, MN 55102-1062
Phone (651) 326-4800

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Range Regional Health Services Current Accepting new patients
Fairview Specialty Services CurrentSince Jan 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2024 Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Range Regional Health Services CurrentSince Sep 15, 2025 Accepting new patients

Locations

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

45 10th St W
Ste 3000
Saint Paul, MN 55102
Phone (651) 326-4800

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

Organizations & group practices 6

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": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524268800000",
    "number": "1215424585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 LEEWARD TRL",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551299494",
            "telephone_number": "612-251-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 150",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224536",
            "telephone_number": "612-280-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PATRICK",
        "middle_name": "STEPHEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-21",
        "last_updated": "2018-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNG SOO",
            "last_name": "KIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.