Individual provider Active NPI

Linnea Kim Swanson, PSY.D., M.A., LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1255423471
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1190 Issued in MN
Practice address
348 Prior Ave N Ste 102
Saint Paul, MN 55104-5188
Phone
(612) 715-0754
Fax
(651) 964-3796
NPI assigned
Sep 28, 2006
Last updated
Feb 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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 1190 MN Primary

Addresses

Primary practice location

348 Prior Ave N Ste 102
Saint Paul, MN 55104-5188

Mailing address

348 Prior Ave N Ste 102
Saint Paul, MN 55104-5188
Phone (612) 715-0754

Other identifiers 1

IdentifierTypeStateIssuer
028998100MedicaidMN

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1255423471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 PRIOR AVE N STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045188",
            "telephone_number": "612-715-0754",
            "fax_number": "651-964-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 PRIOR AVE N STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045188",
            "telephone_number": "612-715-0754",
            "fax_number": "651-964-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "LINNEA",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028998100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.