Active NPI
Barbara Clare, MS, LMFT
- Marriage & Family Therapist
- Prior Lake, MN
National Provider Identifier
1235137076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 884
- Practice address
- 16180 Hastings Ave SE Ste 205
Prior Lake, MN 55372 - Phone
- (952) 443-4600
- Fax
- (952) 443-4604
- NPI assigned
- Jul 13, 2005
- 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 | 884 | MN | Primary |
Addresses
Primary practice location
16180 Hastings Ave SE Ste 205
Prior Lake, MN 55372
Mailing address
PO Box 51
Victoria, MN 55386-0051
Phone (952) 443-4600
Other practice location 1
200 4th Ave W
Government Center Rm 300
Shakopee, MN 55379-1220
Phone (952) 496-8590
Other practice location 2
2835 S Service Dr Ste 103
Red Wing, MN 55066
Phone (651) 327-2270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953726100 | Medicaid | MN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorenz Clinic, LLC | Marriage & Family Therapist | Past | Accepting new patients |
| Hiawatha Valley Mental Health Center Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Winona, MN
- NPI 1184606337
-
- Marriage & Family Therapist
- Victoria, MN
- NPI 1982900510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1235137076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51",
"city": "VICTORIA",
"state": "MN",
"postal_code": "553860051",
"telephone_number": "952-443-4600",
"fax_number": "952-443-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16180 HASTINGS AVE SE STE 205",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "55372",
"telephone_number": "952-443-4600",
"fax_number": "952-443-4604"
}
],
"practiceLocations": [
{
"address_1": "200 4th Ave W",
"address_2": "Government Center Rm 300",
"address_purpose": "LOCATION",
"city": "Shakopee",
"state": "MN",
"postal_code": "553791220",
"country_code": "US",
"telephone_number": "952-496-8590",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2835 S Service Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Red Wing",
"state": "MN",
"postal_code": "55066",
"country_code": "US",
"telephone_number": "651-327-2270",
"fax_number": "651-327-2272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARE",
"first_name": "BARBARA",
"name_prefix": "Ms.",
"credential": "MS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "953726100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prior Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.