NPIMap

Organization Active NPI

Relationship Therapy Center PC

  • Marriage & Family Therapist
  • St Louis Park, MN
National Provider Identifier
1376687285
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RELATIONSHIP THERAPY CENTER PC
Practice address
5407 Excelsior Boulevard
Suite B
Saint Louis Park, MN 55416-2932
Phone
(612) 787-2832
Fax
(952) 920-9323
NPI assigned
Feb 16, 2007
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Deeetta Marie Juve
Title
Billing Associate
Phone
(612) 558-1699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5407 Excelsior Boulevard
Suite B
Saint Louis Park, MN 55416-2932

Mailing address

5407 Excelsior Boulevard
Suite B
Saint Louis Park, MN 55416-2932
Phone (612) 787-2832

Other names 1

  • Therapy Today and Tomorrow Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010000213 MN Part B Supplier - Clinic/Group Practice 7810429222 Receives reassigned benefits from 15 practitioners
Practice locations: St Louis Park, MN

National Provider Directory

National Provider Directory
Tax ID family
Relationship Therapy Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2600 Eagan Woods Dr
Ste 200
Eagan, MN 55121
Phone (612) 283-9221

4820 Minnetonka Blvd
Ste 411
St Louis Park, MN 55416
Phone (612) 483-4994

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1376687285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BOULEVARD",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162932",
            "telephone_number": "612-787-2832",
            "fax_number": "952-920-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BOULEVARD",
            "address_2": "SUITE B",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162932",
            "telephone_number": "612-787-2832",
            "fax_number": "952-920-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELATIONSHIP THERAPY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "JUVE",
        "authorized_official_first_name": "DEEETTA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING ASSOCIATE",
        "authorized_official_telephone_number": "612-558-1699"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Today and Tomorrow",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.