Active NPI
Patrick Stephen Robinson, LMFT
- Marriage & Family Therapist
- Golden Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2656
- 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
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 | 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Range Regional Health Services | Current | Accepting new patients | |
| Fairview Specialty Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Range Regional Health Services | Current | 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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Point of Service
- Saint Paul, MN
- NPI 1912066218
-
- General Acute Care Hospital
- Hibbing, MN
- NPI 1356321699
-
- Durable Medical Equipment & Medical Supplies
- International Falls, MN
- NPI 1710954821
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.