Judith Marie Hafner, B.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959

Phone

(952) 224-2282

Fax

(952) 224-2284

NPI assigned

Mar 22, 2011

Last updated

Mar 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Innovations, Inc.

  dba LifeStance Health

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783
  NPD (past)

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1306145933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-224-2282",
            "fax_number": "952-224-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-224-2282",
            "fax_number": "952-224-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFNER",
        "first_name": "JUDITH",
        "middle_name": "MARIE",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elli Marie Haanstad
• Amy Catherine Haarstad, D.V.M.
• David Wayne Haase, D.C.
• Zubeyda Hade
• Amanda Josephine Haeg, D.C.
• Breanna Marie Hagen
• Emily Hagen, NCTM, CNMT
• Anthony Ray Hagerty, OD
• Gregory Alan Haines, D.O.
• Abdikher Haji

• Mental Health Counselor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.