Individual provider Active NPI

Mana Vue, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1356492250
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1470 Issued in MN
Practice address
23 Empire Dr
Suite 105
Saint Paul, MN 55103-1856
Phone
(651) 343-5929
Fax
(651) 458-5255
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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 1470 MN Primary

Addresses

Primary practice location

23 Empire Dr
Suite 105
Saint Paul, MN 55103-1856

Mailing address

23 Empire Dr
Suite 105
Saint Paul, MN 55103-1856
Phone (651) 343-5929

Other identifiers 5

IdentifierTypeStateIssuer
6246883OtherMNMEDICA
136506OtherMNUCARE
160G9VUOtherMNBLUE CROSS BLUE SHIELD OF MN
HP52401OtherMNHEALTH PARTNERS
542473900MedicaidMN

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

LicenseStateTypeSpecialty
1470MNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1356492250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 EMPIRE DR",
            "address_2": "SUITE 105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031856",
            "telephone_number": "651-343-5929",
            "fax_number": "651-458-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 EMPIRE DR",
            "address_2": "SUITE 105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031856",
            "telephone_number": "651-343-5929",
            "fax_number": "651-458-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUE",
        "first_name": "MANA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6246883",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "136506",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN",
            "identifier": "160G9VU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP52401",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "542473900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.