Individual provider Active NPI

Lara T Collins Asmus, L.M.F.T.

  • Marriage & Family Therapist
  • Shakopee, MN
National Provider Identifier
1255835781
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3631 Issued in MN
Practice address
200 4TH Ave W # 300
Shakopee, MN 55379-1220
Phone
(952) 445-7751
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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 3631 MN Primary

Addresses

Primary practice location

200 4TH Ave W # 300
Shakopee, MN 55379-1220

Mailing address

200 4TH Ave W Ste 300
Shakopee, MN 55379-1220
Phone (952) 496-8821

Other practice location 1

5125 County Road 101
Suite 300
Minnetonka, MN 55345
Phone (952) 932-7277

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
I20231222002520 MN Practitioner - Marriage and Family Therapist 0547610198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of ScottGroup PAC ID 4587605225, 11 clinicians

Practice addresses (Care Compare)

200 4TH Ave W
Shakopee, MN 55379-1220
Phone (952) 496-8481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Scott CurrentSince Jan 1, 2024 Accepting new patients
County of Scott CurrentSince Jan 1, 2024 Accepting new patients
County of Scott Past Accepting new patients
Relate Inc PastSince Oct 4, 2002 Accepting new patients

Locations

200 4th Ave W
Shakopee, MN 55379
Phone (952) 496-8481

200 4th Ave W
#300
Shakopee, MN 55379
Phone (952) 445-7751

200 4th Ave W
Ste 300
Shakopee, MN 55379
Phone (952) 496-8481

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1255835781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 4TH AVE W STE 300",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791220",
            "telephone_number": "952-496-8821",
            "fax_number": "952-496-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 4TH AVE W # 300",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791220",
            "telephone_number": "952-445-7751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5125 County Road 101",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "55345",
            "country_code": "US",
            "telephone_number": "952-932-7277",
            "fax_number": "952-932-9827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS ASMUS",
        "first_name": "LARA",
        "middle_name": "T",
        "credential": "L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.