Individual provider Active NPI

Emily Coler Hanson, M.S., LMFT, CGP

  • Marriage & Family Therapist
  • Jamestown, ND
National Provider Identifier
1255657409
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2012-040 Issued in ND
Practice address
Anne Carlsen Center
701 3Rd St NW
Jamestown, ND 58401-8000
Phone
(218) 443-2837
NPI assigned
Apr 13, 2010
Last updated
Mar 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 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 2012-040 ND Primary

Addresses

Primary practice location

Anne Carlsen Center
701 3Rd St NW
Jamestown, ND 58401-8000

Mailing address

Anne Carlsen Center
701 3Rd St NW
Jamestown, ND 58401-8000
Phone (218) 443-2837

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
I20240131000825 MN Practitioner - Marriage and Family Therapist 3476906074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2012-040NDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD Marriage & Family Therapist CurrentSince Apr 13, 2026 Accepting new patients

Locations

4150 Olson Memorial Hwy
Ste 110
Golden Valley, MN 55422
Phone (763) 301-9998

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 252-4830

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 313-0096

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1255657409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANNE CARLSEN CENTER",
            "address_2": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584018000",
            "telephone_number": "218-443-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANNE CARLSEN CENTER",
            "address_2": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584018000",
            "telephone_number": "218-443-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLER HANSON",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "M.S., LMFT, CGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ND",
            "license": "2012-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.