Individual provider Active NPI

Courtney Regnier, LMFT

  • Marriage & Family Therapist
  • Crosslake, MN
National Provider Identifier
1275955932
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2738 Issued in MN
Practice address
35586 CR 66, Ste 249
Crosslake, MN 56442
Phone
(218) 322-1185
Fax
(218) 309-1794
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 2738 MN Primary

Addresses

Primary practice location

35586 CR 66, Ste 249
Crosslake, MN 56442

Mailing address

PO Box 845
Crosslake, MN 56442-0845
Phone (218) 322-1185

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
I20251118004283 MN Practitioner - Marriage and Family Therapist 9133610009 Practice locations: Crosslake, MN

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27714 Ridgewood Dr
Merrifield, MN 56465-4122

35586 Co Rd 66
Suite 249
Crosslake, MN 56442
Phone (218) 322-1185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

State licenses

LicenseStateTypeSpecialty
2738MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Minnesota Family Services PastSince Sep 6, 2020 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": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1275955932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "CROSSLAKE",
            "state": "MN",
            "postal_code": "564420845",
            "telephone_number": "218-322-1185",
            "fax_number": "218-309-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35586 CR 66, STE 249",
            "city": "CROSSLAKE",
            "state": "MN",
            "postal_code": "56442",
            "telephone_number": "218-322-1185",
            "fax_number": "218-309-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGNIER",
        "first_name": "COURTNEY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosslake, MN

Sources for this page

Verify at the official NPI Registry.