Courtnie Lee Thunberg, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2230 Issued in MN

Practice address

21395 John Milless Dr. #400
Rogers, MN 55374

Phone

(763) 424-1888

Fax

(763) 424-7288

NPI assigned

Jan 11, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Northwest Family Counseling

  • Community/Behavioral Health Agency
  • Saint Michael, MN
  • NPI 1396275004
  NPD (past)
• Northwinds Counseling Services, P.a.

  • Marriage & Family Therapist
  • Rogers, MN
  • NPI 1760562540
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1295005965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21395 JOHN MILLESS DR. #400",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "55374",
            "telephone_number": "763-424-1888",
            "fax_number": "763-424-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21395 JOHN MILLESS DR. #400",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "55374",
            "telephone_number": "763-424-1888",
            "fax_number": "763-424-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUNBERG",
        "first_name": "COURTNIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2230",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Jean Syverson, MA., MSE.,LP
• Aaron Theis
• Kimberly Rae Thielen
• Kristina Kay Thissen, PA-S
• Rashonna Thomas
• Kyra Tiffany, LICSW
• Today's Dental Rogers LLC
• Jo Ellen Torola, MASSAGE THERAPIST
• Leslie A Trcka, M.D.
• True Movement PLLC

• Marriage & Family Therapist in Rogers, MN
• Providers in Rogers, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.