Individual provider Active NPI

Carolina Faye Warner, LMFT

  • Marriage & Family Therapist
  • Staples, MN
National Provider Identifier
1386200905
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3590 Issued in MN
Practice address
200 4TH St NE
Staples, MN 56479-2428
Phone
(218) 894-1002
Fax
(218) 894-0131
NPI assigned
May 20, 2019
Last updated
May 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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 3590 MN Primary

Addresses

Primary practice location

200 4TH St NE
Staples, MN 56479-2428

Mailing address

429 6TH St SE
Long Prairie, MN 56347-1733
Phone (320) 219-1821

Other practice location 1

16 9th St SE
Long Prairie, MN 56347-1429
Phone (320) 732-6602

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
I20240111000224 MN Practitioner - Marriage and Family Therapist 1052782950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways Counseling PLLCGroup PAC ID 3072044809, 2 clinicians

Practice addresses (Care Compare)

15 1St Ave S
Suite 2
Long Prairie, MN 56347-1453
Phone (320) 732-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling PLLC Marriage & Family Therapist CurrentSince Sep 18, 2024 Accepting new patients
Northern Pines Mental Health Center, Inc. PastSince Feb 13, 2024 Accepting new patients
Northern Pines Mental Health Center, Inc. Past Accepting new patients

Locations

15 1st Ave S
Ste 2
Long Prairie, MN 56347
Phone (320) 732-3344

Organizations & group practices 3

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1386200905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 6TH ST SE",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563471733",
            "telephone_number": "320-219-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 4TH ST NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564792428",
            "telephone_number": "218-894-1002",
            "fax_number": "218-894-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 9th St SE",
            "address_purpose": "LOCATION",
            "city": "Long Prairie",
            "state": "MN",
            "postal_code": "563471429",
            "country_code": "US",
            "telephone_number": "320-732-6602",
            "fax_number": "320-732-6581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "CAROLINA",
        "middle_name": "FAYE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staples, MN

Sources for this page

Verify at the official NPI Registry.