Active NPI
Virginia G Ehrman, LP
- Marriage & Family Therapist
- Excelsior, MN
National Provider Identifier
1285791384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LP4121
- Practice address
- 34 Water St
Excelsior, MN 55331-1846 - Phone
- (612) 701-6488
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LP4121 | MN | Primary |
Addresses
Primary practice location
34 Water St
Excelsior, MN 55331-1846
Mailing address
4065 Sibley Avenue
Deep Haven, MN 55391
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-42808 | Other | MN | UBH |
| 254L5EH | Other | FM | BLUE CROSS BLUE SHIELD |
| 7445747 | Other | MN | AENTA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP4121 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285791384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4065 SIBLEY AVENUE",
"city": "DEEP HAVEN",
"state": "MN",
"postal_code": "55391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 WATER ST",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553311846",
"telephone_number": "612-701-6488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRMAN",
"first_name": "VIRGINIA",
"middle_name": "G",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "LP4121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "62-42808",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "254L5EH",
"state": "FM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA",
"identifier": "7445747",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Excelsior, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.