Individual provider Active NPI

David Phillip Halper, MA

  • Marriage & Family Therapist
  • White Bear Lake, MN
National Provider Identifier
1316003874
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1644 Issued in MN
Practice address
1310 Highway 96 E Ste 104C
White Bear Lake, MN 55110-3618
Phone
(651) 756-7590
NPI assigned
Dec 29, 2006
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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 1644 MN Primary

Addresses

Primary practice location

1310 Highway 96 E Ste 104C
White Bear Lake, MN 55110-3618

Mailing address

6808 Upper 28TH St N
Oakdale, MN 55128-3833
Phone (651) 336-6942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240408000133 MN Practitioner - Marriage and Family Therapist 2264564160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Online Counseling LLCGroup PAC ID 3072849207, 13 clinicians

Practice addresses (Care Compare)

1310 Hwy 96 E
Suite 104C
White Bear Lake, MN 55110-3618
Phone (651) 756-7590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1644MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Online Counseling LLC Marriage & Family Therapist CurrentSince Apr 10, 2019 Accepting new patients
Colorado Online Counseling LLC Current Accepting new patients

Locations

62 E Broadway
Ste 103
Little Falls, MN 56345
Phone (612) 702-4767

1310 Highway 96 E
Ste 104C
White Bear Lake, MN 55110
Phone (651) 336-6942

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1316003874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 UPPER 28TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551283833",
            "telephone_number": "651-336-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E STE 104C",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103618",
            "telephone_number": "651-756-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPER",
        "first_name": "DAVID",
        "middle_name": "PHILLIP",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

Verify at the official NPI Registry.