Individual provider Active NPI

Markela Levette Banks, MA LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1265360200
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4917 Issued in MN
Practice address
1205 Grand Ave
Saint Paul, MN 55105-2634
Phone
(612) 619-7611
NPI assigned
May 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 4917 MN Primary

Addresses

Primary practice location

1205 Grand Ave
Saint Paul, MN 55105-2634

Mailing address

1205 Grand Ave
Saint Paul, MN 55105-2634
Phone (612) 619-7611

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
I20260608003907 MN Practitioner - Marriage and Family Therapist 4284105404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1205 Grand Ave
Saint Paul, MN 55105-2634

PO Box
Suite 576
Pequot Lakes, MN 56472

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4917MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Invigorate Life Counseling, PLLC CurrentSince Jun 1, 2026 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1265360200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052634",
            "telephone_number": "612-619-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052634",
            "telephone_number": "612-619-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "MARKELA",
        "middle_name": "LEVETTE",
        "credential": "MA LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.