Carolyn Dehnbostel, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1777 Issued in MN

Practice address

1611 County Road B, Suite 303
MN Couple Therapy Center
Roseville, MN 55113

Phone

(651) 340-4597

NPI assigned

Feb 4, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Goodell Former name

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

Specialty

Marriage and Family Therapist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alliance Family Counseling LLC

  • Marriage & Family Therapist
  • Ely, MN
  • NPI 1407699838
  Medicare reassignment NPD Authorized official
• MN Couple Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roseville, MN
  • NPI 1770912271
  NPD (past)

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1366748576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WOODBINE LN",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301062",
            "telephone_number": "612-242-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B, SUITE 303",
            "address_2": "MN COUPLE THERAPY CENTER",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-340-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHNBOSTEL",
        "first_name": "CAROLYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "GOODELL",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Joy De la Bruere, PA
• Deborah K Erickson PLLC
• Brian Francis Decesare, MD
• Diadra Decker, LMT
• Deep River Counseling LLC
• Blake Deist, DPT
• David Joseph Delaney Elsner, D.O.
• Rebecca Ann Delaney
• Zota Dennis
• Dental Specialist of Minnesota, PLLC

• Marriage & Family Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.