Active NPI
Laura Marie Phillips, M.A., LMFT
- Marriage & Family Therapist
- Stillwater, MN
National Provider Identifier
1295836559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1496
- Practice address
- 116 Chestnut St E
Suite 400
Stillwater, MN 55082-5116 - Phone
- (651) 344-6204
- Fax
- (651) 344-4949
- NPI assigned
- Sep 26, 2006
- 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 | 1496 | MN | Primary |
Addresses
Primary practice location
116 Chestnut St E
Suite 400
Stillwater, MN 55082-5116
Mailing address
116 Chestnut St E
Suite 400
Stillwater, MN 55082-5116
Phone (651) 344-6204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295836559 | Medicaid | MN |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1295836559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CHESTNUT ST E",
"address_2": "SUITE 400",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825116",
"telephone_number": "651-344-6204",
"fax_number": "651-344-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 CHESTNUT ST E",
"address_2": "SUITE 400",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825116",
"telephone_number": "651-344-6204",
"fax_number": "651-344-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "LAURA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295836559",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.