Individual provider Active NPI

Kathryn Marie-Wilker Barrett, M.A. L.M.F.T

  • Marriage & Family Therapist
  • Chanhassen, MN
National Provider Identifier
1386940351
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2272 Issued in MN
Practice address
600 W 78TH St Ste 10I
Chanhassen, MN 55317-2601
Phone
(612) 702-1976
Fax
(952) 406-8588
NPI assigned
Feb 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 2272 MN Primary

Addresses

Primary practice location

600 W 78TH St Ste 10I
Chanhassen, MN 55317-2601

Mailing address

PO Box 477
Chanhassen, MN 55317-0477
Phone (612) 702-1976

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
I20250417001492 MN Practitioner - Marriage and Family Therapist 3870905193 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2272MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Therapeutic Support Services PLLC Marriage & Family Therapist CurrentSince May 10, 2016 Accepting new patients

Locations

600 W 78th St
Ste 10
Chanhassen, MN 55317
Phone (952) 405-9369

600 W 78th St
Ste 10I
Chanhassen, MN 55317
Phone (612) 702-1976

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1386940351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553170477",
            "telephone_number": "612-702-1976",
            "fax_number": "952-406-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 78TH ST STE 10I",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553172601",
            "telephone_number": "612-702-1976",
            "fax_number": "952-406-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "KATHRYN",
        "middle_name": "MARIE-WILKER",
        "name_prefix": "Mrs.",
        "credential": "M.A. L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.