Individual provider Active NPI

Andrew Worthing, MS, LMFT

  • Marriage & Family Therapist
  • Brooklyn Center, MN
National Provider Identifier
1346821063
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4001 Issued in MN
Practice address
6040 Earle Brown Dr Ste 420
Brooklyn Center, MN 55430-2562
Phone
(612) 860-8175
NPI assigned
Apr 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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 4001 MN Primary

Addresses

Primary practice location

6040 Earle Brown Dr Ste 420
Brooklyn Center, MN 55430-2562

Mailing address

6040 Earle Brown Dr Ste 420
Brooklyn Center, MN 55430-2562
Phone (612) 860-8175

Other identifiers 1

IdentifierTypeStateIssuer
4001OtherMNMARRIAGE AND FAMILY THERAPY LICENSE

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
I20240229001040 MN Practitioner - Marriage and Family Therapist 0941645907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Street Family ServicesGroup PAC ID 0143579755, 2 clinicians

Practice addresses (Care Compare)

400 Jackson Ave NW
Suite 101
Elk River, MN 55330-1363
Phone (763) 595-1420

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Family Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

400 Jackson Ave NW
Ste 101
Elk River, MN 55330
Phone (763) 233-2195

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1346821063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 EARLE BROWN DR STE 420",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302562",
            "telephone_number": "612-860-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 EARLE BROWN DR STE 420",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302562",
            "telephone_number": "612-860-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHING",
        "first_name": "ANDREW",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPY LICENSE",
            "identifier": "4001",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.