Individual provider Active NPI

Emily Jean Christenson

  • Marriage & Family Therapist
  • Henderson, MN
National Provider Identifier
1356844203
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3595 Issued in MN
Practice address
522 Main St
Henderson, MN 56044-7709
Phone
(507) 858-3019
NPI assigned
Mar 16, 2018
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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 3595 MN Primary

Addresses

Primary practice location

522 Main St
Henderson, MN 56044-7709

Mailing address

530 N 4TH St
Le Sueur, MN 56058-1535
Phone (952) 737-8234

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emilym@forwardbound.org

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
I20240212002770 MN Practitioner - Marriage and Family Therapist 3072956523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forward Bound Counseling PLLCGroup PAC ID 2163865619, 2 clinicians

Practice addresses (Care Compare)

213 N Main St
Le Sueur, MN 56058-1846
Phone (507) 858-3019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3535MNMDRegistered Dietitian
3595MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Bound Counseling PLLC CurrentSince Nov 15, 2023 Accepting new patients
Andrew J Larson Counseling Services Marriage & Family Therapist PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1356844203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N 4TH ST",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560581535",
            "telephone_number": "952-737-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 MAIN ST",
            "city": "HENDERSON",
            "state": "MN",
            "postal_code": "560447709",
            "telephone_number": "507-858-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSON",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilym@forwardbound.org",
            "affiliation": "N",
            "address_1": "522 Main St",
            "city": "Henderson",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560447709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, MN

Sources for this page

Verify at the official NPI Registry.