Active NPI
Core Psychotherapy, LLC
- Community/Behavioral Health Agency
- St Louis Park, MN
National Provider Identifier
1265731012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPCC CC00275
- Legal business name
- CORE PSYCHOTHERAPY, LLC
- Practice address
- 5871 Cedar Lake Rd S Ste 220
St Louis Park, MN 55416-3804 - Phone
- (612) 293-9332
- Fax
- (267) 363-2411
- NPI assigned
- Mar 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew M. Paymar, M.A., LPCC
- Title
- Owner
- Phone
- (612) 293-9332
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPCC CC00275 | MN | Primary |
Addresses
Primary practice location
5871 Cedar Lake Rd S Ste 220
St Louis Park, MN 55416-3804
Mailing address
5871 Cedar Lake Rd S Ste 220
St Louis Park, MN 55416-3804
Phone (612) 293-9332
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- St Louis Park, MN
- NPI 1568761807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300492800000",
"number": "1265731012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5871 CEDAR LAKE RD S STE 220",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554163804",
"telephone_number": "612-293-9332",
"fax_number": "267-363-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5871 CEDAR LAKE RD S STE 220",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554163804",
"telephone_number": "612-293-9332",
"fax_number": "267-363-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-19",
"last_updated": "2011-03-19",
"status": "A",
"authorized_official_last_name": "PAYMAR",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-293-9332",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A., LPCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "LPCC CC00275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.