Active NPI
Tara Lemke Ebenhoch, LMFT
- Marriage & Family Therapist
- Saint Paul, MN
National Provider Identifier
1235446360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1939
- Practice address
- 1678 Selby Ave Ofc
Saint Paul, MN 55104 - Phone
- (763) 228-4752
- NPI assigned
- Sep 10, 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 | 1939 | MN | Primary |
Addresses
Primary practice location
1678 Selby Ave Ofc
Saint Paul, MN 55104
Mailing address
6043 Hudson Rd
Suite 220
Woodbury, MN 55125-1018
Phone (651) 200-6092
Other names 1
- Tara Lemke
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1939 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1235446360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6043 HUDSON RD",
"address_2": "SUITE 220",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251018",
"telephone_number": "651-200-6092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1678 SELBY AVE OFC",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "763-228-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMKE EBENHOCH",
"first_name": "TARA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "LEMKE",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.