Active NPI
Helga Dale, LMFT
- Marriage & Family Therapist
- Minneapolis, MN
National Provider Identifier
1306927165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1075
- Practice address
- 4748 Chicago Ave Ste 1
Minneapolis, MN 55407 - Phone
- (612) 821-1920
- NPI assigned
- Oct 18, 2006
- Last updated
- Aug 6, 2018
- 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 | 1075 | MN | Primary |
Addresses
Primary practice location
4748 Chicago Ave Ste 1
Minneapolis, MN 55407
Mailing address
4748 Chicago Ave Ste 1
Minneapolis, MN 55407-4311
Phone (612) 821-1920
Other practice location 1
4826 Chicago Ave
Suite #206
Minneapolis, MN 55417-1001
Phone (612) 821-1920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115148700 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1075 | MN | MD | Lay Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Specialty Clinic P a | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Minneapolis, MN
- NPI 1376765529
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1306927165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4748 CHICAGO AVE STE 1",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554074311",
"telephone_number": "612-821-1920",
"fax_number": "612-821-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4748 CHICAGO AVE STE 1",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55407",
"telephone_number": "612-821-1920"
}
],
"practiceLocations": [
{
"address_1": "4826 Chicago Ave",
"address_2": "Suite #206",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554171001",
"country_code": "US",
"telephone_number": "612-821-1920",
"fax_number": "612-821-1919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALE",
"first_name": "HELGA",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115148700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.