Individual provider Active NPI

Nelle Moriarty, LMFT

  • Marriage & Family Therapist
  • Rochester, MN
National Provider Identifier
1265451819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
422 Issued in MN
Practice address
124 Elton Hills LN NW
Rochester, MN 55901-3567
Phone
(507) 282-1009
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 422 MN Primary

Addresses

Primary practice location

124 Elton Hills LN NW
Rochester, MN 55901-3567

Mailing address

5425 Collegeview Rd E
Rochester, MN 55904-7708
Phone (507) 289-5803

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
I20240321003733 MN Practitioner - Marriage and Family Therapist 7315384690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilience CenterGroup PAC ID 3870993579, 8 clinicians

Practice addresses (Care Compare)

3006 Allegro Park LN SW
Suite 1
Rochester, MN 55902-4160
Phone (507) 540-0894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

3006 Allegro Park Ln SW
Rochester, MN 55902
Phone (507) 421-9060

3006 Allegro Park Ln SW
Ste 1
Rochester, MN 55902
Phone (507) 540-0894

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265451819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 COLLEGEVIEW RD E",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047708",
            "telephone_number": "507-289-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ELTON HILLS LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013567",
            "telephone_number": "507-282-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "NELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.