Natalie Marie Marr, L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4960 Issued in MN

Practice address

6121 Excelsior Blvd
Ste 101a
St Louis Park, MN 55416-2752

Phone

(612) 440-8742

Fax

(716) 531-9060

NPI assigned

Oct 26, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 29, 2023 through Dec 29, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mindful Way Counseling, LLC

  • Clinical Social Worker
  • Fridley, MN
  • NPI 1336615202
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1265768337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490171",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554490171",
            "telephone_number": "17637626988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 EXCELSIOR BLVD",
            "address_2": "STE 101A",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162752",
            "telephone_number": "612-440-8742",
            "fax_number": "716-531-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Highway 293 S",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550089002",
            "country_code": "US",
            "telephone_number": "763-689-7376",
            "fax_number": "763-689-7216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARR",
        "first_name": "NATALIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Stearns, LLC
• Marie Casey Olseth, MD, LLC
• Josephine Grace Marino, AUD
• Josiane Marly Da Silva, MA
• Tamar Melmed Marmor, MPS, ATR, LMFT
• Marsalu, Inc.
• Susan E Marschke, RD
• M. Katharine Marsh, M.A. L.A.D.C.
• Alyson Marshall
• Ann Marshall, MD

• Clinical Psychologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.