Individual provider Active NPI

John Ostby, MA, LMFT

  • Marriage & Family Therapist
  • Glencoe, MN
National Provider Identifier
1386022606
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2791 Issued in MN
Practice address
925 12TH St E
Glencoe, MN 55336-2336
Phone
(320) 864-6139
NPI assigned
May 7, 2015
Last updated
May 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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 2791 MN Primary

Addresses

Primary practice location

925 12TH St E
Glencoe, MN 55336-2336

Mailing address

2365 Buford Ave
Saint Paul, MN 55108-1642
Phone (651) 491-7054

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2791MNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Jonas Center Past Accepting new patients

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, 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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1386022606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 BUFORD AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081642",
            "telephone_number": "651-491-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 12TH ST E",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362336",
            "telephone_number": "320-864-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTBY",
        "first_name": "JOHN",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.