Individual provider Active NPI

M Jane Sharkey, LMFT

  • Marriage & Family Therapist
  • Minnetonka, MN
National Provider Identifier
1295731024
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1111 Issued in MN
Practice address
13537 Windyhill Rd
Minnetonka, MN 55305-1011
Phone
(952) 484-4885
Fax
(952) 525-0702
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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 1111 MN Primary

Addresses

Primary practice location

13537 Windyhill Rd
Minnetonka, MN 55305-1011

Mailing address

5637 Brooklyn Blvd
Brooklyn Center, MN 55429-3061
Phone (763) 432-3926

Other identifiers 2

IdentifierTypeStateIssuer
144M9SHOtherMNINDIVIDUAL PROVIDER NUMBE
144M8HEOtherMNGROUP PROVIDER NUMBER

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

LicenseStateTypeSpecialty
1111MNMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Helena Family Support Inc CurrentSince Aug 18, 2024 Accepting new patients
Helena Autism Therapy Center, Inc CurrentSince Dec 9, 2019 Accepting new patients
Helena Family Support Marriage & Family Therapist Past Accepting new patients

Locations

5637 Brooklyn Blvd
Minneapolis, MN 55429
Phone (763) 432-3926

Organizations & group practices 3

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1295731024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 BROOKLYN BLVD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293061",
            "telephone_number": "763-432-3926",
            "fax_number": "952-525-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13537 WINDYHILL RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051011",
            "telephone_number": "952-484-4885",
            "fax_number": "952-525-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARKEY",
        "first_name": "M",
        "middle_name": "JANE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NUMBE",
            "identifier": "144M9SH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER NUMBER",
            "identifier": "144M8HE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.